Provider Demographics
NPI:1861280018
Name:BAEZ FELIZ, INGRID JOSELINE
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:JOSELINE
Last Name:BAEZ FELIZ
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 1:103 DOUGLASS ST APT 1
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-2001
Mailing Address - Country:US
Mailing Address - Phone:570-790-6042
Mailing Address - Fax:
Practice Address - Street 1:103 DOUGLASS ST APT 1
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-2001
Practice Address - Country:US
Practice Address - Phone:570-790-6042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator