Active NPI
Jaileene E Baez, MS SLP
- Speech-Language Pathologist
- Dorado, PR
National Provider Identifier
1689180994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004066
- Practice address
- Carr 695 KM 2.0
Bo. Higuillar
Dorado, PR 00646 - Phone
- (787) 314-0373
- NPI assigned
- Dec 21, 2017
- Last updated
- May 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004066 | PR | Primary |
Addresses
Primary practice location
Carr 695 KM 2.0
Bo. Higuillar
Dorado, PR 00646
Mailing address
RR 7 Box 17127
Toa Alta, PR 00953-8844
Phone (787) 314-0373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4893547 | Other | PR | DRIVERS LICENSE |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004066 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1689180994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 7 BOX 17127",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009538844",
"telephone_number": "787-314-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 695 KM 2.0",
"address_2": "BO. HIGUILLAR",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-314-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ",
"first_name": "JAILEENE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MS SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2021-05-14",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "004066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "4893547",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.