Healthcare Provider Details

I. General information

NPI: 1558295782
Provider Name (Legal Business Name): SERENITY PATH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB ALTAMESA AVE SAN IGNACIO 1448
SAN JUAN PR
00921
US

IV. Provider business mailing address

URB ALTAMESA AVE SAN IGNACIO 1448
SAN JUAN PR
00921
US

V. Phone/Fax

Practice location:
  • Phone: 787-459-9993
  • Fax:
Mailing address:
  • Phone: 787-459-9993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDGARDO BAEZ
Title or Position: OWNER
Credential: M.D
Phone: 787-459-9993