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NPI Code Detail

MEDICARE: CARLOS J BOURDONY-BAEZ MD

MEDICARE:   CARLOS J BOURDONY-BAEZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0205XPediatric Endocrinology Physician4120PR

General Provider Information

NPI Number : 1245225614
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS J BOURDONY-BAEZ MD
Provider Business Mailing Address
First Line : PO BOX 11021
Second Line :
City : SAN JUAN
State : PR
Zip : 00910-2121
Country : US
Telephone Number : 787-433-7334
Fax Number : 787-727-6550
Provider Business Practice Location Address
First Line : 258 CALLE SAN JORGE SUITE 205
Second Line : SAN JORGE CHILDREN HOSPITAL TOWER
City : SAN JUAN
State : PR
Zip : 00909-1900
Country : US
Telephone Number : 787-433-7334
Fax Number : 787-727-6550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 02/08/2016

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Directions to “ CARLOS J BOURDONY-BAEZ MD” Practice Location

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