Healthcare Provider Details

I. General information

NPI: 1477479517
Provider Name (Legal Business Name): BAEZ CLINICAL LABORATORY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 CALLE MUNOZ RIVERA
YAUCO PR
00698-4905
US

IV. Provider business mailing address

HC 5 BOX 7465
YAUCO PR
00698-9727
US

V. Phone/Fax

Practice location:
  • Phone: 787-856-0215
  • Fax: 787-856-0215
Mailing address:
  • Phone: 787-856-0215
  • Fax: 787-856-0215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. SILVIA I BAEZ
Title or Position: DIRECTOR
Credential: BSMT
Phone: 787-450-1800