Healthcare Provider Details

I. General information

NPI: 1679406268
Provider Name (Legal Business Name): SULEIMY BAEZ PSY D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DRA. SULEIMY BAEZ RIVERA PSY D

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 EL FALANSTERIO # 9
SAN JUAN PR
00901-3277
US

IV. Provider business mailing address

11 EL FALANSTERIO # 9
SAN JUAN PR
00901-3277
US

V. Phone/Fax

Practice location:
  • Phone: 787-994-4447
  • Fax:
Mailing address:
  • Phone: 787-994-4447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8985
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: