MEDICARE: CDT DR MANUEL QUEVEDO BAEZ

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
1	261QP0905X	State or Local Public Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811102502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CDT DR MANUEL QUEVEDO BAEZ

Provider Business Mailing Address
First Line	:	PO BOX 21405
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00928-1405
Country	:	US
Telephone Number	:	787-480-3901
Fax Number	:	787-724-0696

Provider Business Practice Location Address
First Line	:	359 CALLE SAN AGUSTIN PUERTA DE TIERRA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00901-2908
Country	:	US
Telephone Number	:	787-480-3901
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. STEPHANIE RODRIGUEZ
Credential	:	LIC
Telephone Number	:	787-480-3901

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	05/24/2023

Similar Medicare Providers

1245363852 — GES CDT DR. MANUEL QUEVEDO BAEZ
Practice Location Address:

359 CALLE SAN AGUSTIN , PUERTA DE TIERRA
SAN JUAN, PR
00901-2908

Practice Phone: 787-723-6057
Practice Fax:

1225010721 — MR. LUIS ARAMBURU DIAZ OD
Practice Location Address:

1122 AVE PONCE DE LEON
SAN JUAN, PR
00925-2908

Practice Phone: 787-790-3848
Practice Fax: 787-765-7035

1376693358 — PEARLE VISION CENTER OF PUERTO RICO, INC
Practice Location Address:

1122 AVE PONCE DE LEON , RIO PIEDRAS #1122
SAN JUAN, PR
00925-2908

Practice Phone: 787-765-0063
Practice Fax: 787-765-7035

1619222460 — JOAN M ROLON M.A
Practice Location Address:

1133 AVE ROOSEVELT , PUERTO NUEVO
SAN JUAN, PR
00920-2908

Practice Phone: 787-449-5508
Practice Fax:

1417354002 — DARMAINE DAVIS
Practice Location Address:

2908 SAN JUAN TRL
MOORE, OK
73160-2163

Practice Phone: 405-830-4279
Practice Fax:

1689652612 — DR. KATHRYN LEA SEWELL M.D.
Practice Location Address:

1515 BAKER ST
SAN FRANCISCO, CA
94115-2908

Practice Phone: 415-345-1973
Practice Fax:

Directions to “CDT DR MANUEL QUEVEDO BAEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.