Michael Baez

Individual provider Active NPI Clinical Social Worker · Ponce, PR

NPI 1932769080 · NPPES record last updated Jun 19, 2019

Key facts

NPI
1932769080
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
MSW10995 (PR)
Practice address
Carr 10 K20 H9 Guaraguao Sector El Mato
Ponce, PR 00731-9510
Phone
(787) 477-9696
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MSW10995PRMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X MSW10995 PR Yes

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

TypeEndpointUseAffiliation
CONNECT URL Michael_baezlo@yahoo.com Direct

Other providers in Ponce, PR

All providers in Ponce, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.