Individual provider Active NPI

Emilio J Baez, M.D.

  • Pediatric Critical Care Medicine Physician
  • Ponce, PR
National Provider Identifier
1659330330
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
11377 Issued in PR
Practice address
917 Ave Tito Castro
Ponce, PR 00716
Phone
(787) 844-2080
Fax
(787) 841-7228
NPI assigned
Mar 21, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 11377 PR Primary
Hospitalist Physician 208M00000X 11377 PR

Addresses

Primary practice location

917 Ave Tito Castro
Ponce, PR 00716

Mailing address

PO Box 11913
San Juan, PR 00922-1913
Phone (787) 999-0753

Other practice location 1

Carr 172 KM 2.0
Caguas, PR 00725
Phone (787) 258-4390

Other practice location 2

355 Ave Font Martelo
Humacao, PR 00791-3249
Phone (787) 999-0753 ext. 2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11377PRMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1659330330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11913",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221913",
            "telephone_number": "787-999-0753",
            "fax_number": "787-841-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-844-2080",
            "fax_number": "787-841-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 172 KM 2.0",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-258-4390",
            "fax_number": "787-704-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Ave Font Martelo",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913249",
            "country_code": "US",
            "telephone_number": "787-999-0753 x2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "EMILIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PR",
            "license": "11377",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "11377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.