Provider Demographics
NPI:1780490227
Name:GARCIA-BAELLO, MELVA Y
Entity type:Individual
Prefix:MRS
First Name:MELVA
Middle Name:Y
Last Name:GARCIA-BAELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A26 CALLE LOS PICACHOS
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8003
Mailing Address - Country:US
Mailing Address - Phone:787-640-6786
Mailing Address - Fax:
Practice Address - Street 1:A26 CALLE LOS PICACHOS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-8003
Practice Address - Country:US
Practice Address - Phone:787-640-6786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor