Provider Demographics
NPI:1902054612
Name:BAEZ, SARAI (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAI
Middle Name:
Last Name:BAEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SARAI
Other - Middle Name:
Other - Last Name:BAEZ PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:AC31 CALLE 30
Mailing Address - Street 2:URB. TOA ALTA HEIGTS
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4311
Mailing Address - Country:US
Mailing Address - Phone:787-344-5695
Mailing Address - Fax:787-279-3297
Practice Address - Street 1:AC31 CALLE 30
Practice Address - Street 2:URB. TOA ALTA HEIGHTS
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-4311
Practice Address - Country:US
Practice Address - Phone:787-344-5695
Practice Address - Fax:787-279-3297
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3079103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical