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NPI Code Detail

MEDICARE: YASMANY BAEZ DO

MEDICARE: YASMANY BAEZ DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417701715
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMANY BAEZ DO
Provider Business Mailing Address
First Line : 331 GRANDVIEW AVE APT E
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-1566
Country : US
Telephone Number : 786-464-9817
Fax Number :
Provider Business Practice Location Address
First Line : 331 GRANDVIEW AVE APT E
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-1566
Country : US
Telephone Number : 786-464-9817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 05/09/2024

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