Healthcare Provider Details

I. General information

NPI: 1760301220
Provider Name (Legal Business Name): PAULA BAEZ SRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAULA BAEZ TORO

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

F6GR 76M ARECIBO CAMPUS AV. CATALINA SANTIAGO CHICO
ARECIBO PR
00612
US

IV. Provider business mailing address

21200 KITTRIDGE ST APT 1231
WOODLAND HILLS CA
91303-3039
US

V. Phone/Fax

Practice location:
  • Phone: 845-399-7150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number105369-G
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: