Wanda Ivette Baez, MD
Individual provider Active NPI Specialist · Ponce, PR
NPI 1184667347 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184667347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- VA Ponce Outpatient Clinic
1010 Paseo del Veterano Ave
Ponce, PR 00718 - Phone
- (787) 812-3030
- Fax
- (787) 651-4321
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
VA Ponce Outpatient Clinic
1010 Paseo del Veterano Ave
Ponce, PR 00718
Mailing address
HC 9 Box 5845
Sabana Grande, PR 00637-9629
Phone (787) 812-3030
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.