Provider Demographics
NPI:1033187042
Name:BAEZ-SILVA, CARMEN (MD)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:BAEZ-SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A13 CAMINO REAL
Mailing Address - Street 2:PASEO DEL PRADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5900
Mailing Address - Country:US
Mailing Address - Phone:787-283-9032
Mailing Address - Fax:787-292-8253
Practice Address - Street 1:CAMINO REAL A-13
Practice Address - Street 2:PASEO DEL PRADO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5900
Practice Address - Country:US
Practice Address - Phone:787-283-9032
Practice Address - Fax:787-292-8253
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist