Active NPI
Michael Baez
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1932769080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW10995
- Practice address
- Carr 10 K20 H9 Guaraguao Sector El Mato
Ponce, PR 00731-9510 - Phone
- (787) 477-9696
- NPI assigned
- Jun 19, 2019
- Last updated
- Jun 19, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW10995 | PR | Primary |
Addresses
Primary practice location
Carr 10 K20 H9 Guaraguao Sector El Mato
Ponce, PR 00731-9510
Mailing address
HC 8 Box 1123
Ponce, PR 00731-9510
Phone (787) 477-9696
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Michael_baezlo@yahoo.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW10995 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1932769080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 8 BOX 1123",
"city": "PONCE",
"state": "PR",
"postal_code": "007319510",
"telephone_number": "787-477-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 10 K20 H9 GUARAGUAO SECTOR EL MATO",
"city": "PONCE",
"state": "PR",
"postal_code": "007319510",
"telephone_number": "787-477-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "MSW10995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Michael_baezlo@yahoo.com",
"affiliation": "N",
"endpointDescription": "E Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Carr 10 K20 H9 Guaraguao Sector El Mato",
"city": "Ponce",
"state": "PR",
"country_code": "US",
"postal_code": "007319510",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 19, 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.