Healthcare Provider Details

I. General information

NPI: 1417630963
Provider Name (Legal Business Name): YEYSY DENIS BRITO BAEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CORPORATION WAY STE 180
PEABODY MA
01960-7996
US

IV. Provider business mailing address

11 SEVEN SPRINGS LN APT 108
BURLINGTON MA
01803-5107
US

V. Phone/Fax

Practice location:
  • Phone: 978-532-6111
  • Fax:
Mailing address:
  • Phone: 857-317-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1026485
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: