Wanda Ivette Baez, MD

Primary specialty

SpecialistTaxonomy code 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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184667347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 5845",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379629",
            "telephone_number": "787-812-3030",
            "fax_number": "787-651-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PONCE OUTPATIENT CLINIC",
            "address_2": "1010 PASEO DEL VETERANO AVE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-812-3030",
            "fax_number": "787-651-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "WANDA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Ruben Baez
• Michael Baez
• Nelly Baez
• Rene Baez, M.D.
• Sarah Victoria Baez, PSYCHOLOGIST
• Donna Alexandra Bailey Batista
• Alvin David Balay-Gonzalez, M.D.
• Luz Elena Balay
• Adriana Isabel Ballester Mirabal
• Mayrobis Janice Ballester Rosado

• Specialist in Ponce, PR
• Providers in Ponce, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.