DR. NICOLE MAYRIM BAEZ MORALES (NPI# 1972168342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972168342 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MAYRIM BAEZ MORALES |
| Credential | MD |
| Practice Address |
Ave.ponce De Leon 255 Hato Rey San Juan PR 00916 |
| Mailing Address |
Po Box 723 Fajardo PR 00738-0723 |
| Practice Telephone | 7877582500 |
| Mailing Telephone | 7874353977 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 021755 | PR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Calle Sergio Cuevas Bustamante, San Juan, PR 00918 | 7877588383 |
| Street Address |
AVE.PONCE DE LEON 255 HATO REY |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895660 | Angel Castro | Pharmacist | Bo Obrero Station, Santurce, PR 00916 | 2017-11-30 |
| 1891193389 | Hpm Foundation Inc | Radiology | 2020 Avenida Borinquen, San Juan, PR 00916 | 2014-12-15 |
| 1881821874 | Junta Centro De Salud Comunal Dr. Jose S. Belaval Inc. | Clinic/Center | Ave. Borinquen Edificio # 2003 Bo. Obrero, Santurce, PR 00916 | 2009-06-17 |
| 1922247816 | Aida E Rodriguez | Licensed Practical Nurse | Ave. Borinquen Bo. Obrero, Apartado 14457, San Juan, PR 00916 | 2009-02-17 |
| 1962552182 | One Stop Prescription | Pharmacy | Ave. Munoz Rivera 1045, Monte Mall, Hato Rey, PR 00916 | 2007-01-11 |
| 1023168366 | Gilda Del Rosario Rodriguez-cruz | Internal Medicine | Ave. Borinquen Esqina Nin, Bo. Obrero, San Juan, PR 00916 | 2007-01-11 |
| 1982754255 | Elizabeth Zaragoza | Pediatrics | Apartado 14457 Bo. Obrero Station, Santurce, PR 00916 | 2007-01-11 |
| 1306857719 | Sacha Rivera-sarate | Pharmacist | Ave. Borinquen Esq. Calle Nin, Bo. Obrero, Santurce, PR 00916 | 2006-08-10 |
| 1194757435 | Cardio Neuro Medical Services | Spec/Tech, Cardiovascular | Ave Boringuen 2004, Barrco Obrero, Santurce, PR 00916 | 2006-07-07 |
| 1194964080 | Luz E Berrios | Registered Nurse | Ave. Borinquen Bo. Obrero, Apartado 14457, San Juan, PR 00916 | 2009-02-17 |
| Find all providers in zip 00916 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473620 | Maria Isabel De Jesus | General Practice | 881 Calle Manuel Guerra, San Juan, PR 00924-2533 | 2020-09-24 |
| 1427664762 | Carlos Ruben Alomar Lopez | General Practice | 200 Calle Cupey Gdns Ste 11w, San Juan, PR 00926-7366 | 2020-09-22 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1861010191 | Monica Molina-serrano | General Practice | 342 Calle San Luis, San Juan, PR 00920-1623 | 2020-07-13 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1851918338 | Jenniffer Ramirez Gomez | General Practice | 138 Ave Winston Churchill Pmb 922, San Juan, PR 00926-6013 | 2020-06-30 |
| 1447877949 | Paola Katsi Vissepo Martinez | General Practice | Carr 22 Barrio Monacillos Hospital Oncologico, San Juan, PR 00935-0001 | 2020-06-30 |
| 1598385049 | Mediexpreso LLC | General Practice | Villa Hucar C6 Calle Almendro, San Juan, PR 00920 | 2020-04-24 |
| 1316571912 | Charitin De Pena Gomez | General Practice | L11 Calle Ronda, San Juan, PR 00926-2309 | 2020-02-24 |
| 1093347692 | Elite Medical Clinic of Pr LLC | General Practice | 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748 | 2020-02-11 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.