Provider Demographics
NPI:1942013776
Name:BAEZ, ADRIANA NICOLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:NICOLE
Last Name:BAEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. QUINTAVALLE NORTE CALLE ACUARELA 110 APT. 78
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-645-8262
Mailing Address - Fax:
Practice Address - Street 1:CARR. 695 KM 2.0 LOCAL 6, SEGUNDO NIVEL, URB. DORAVILLE
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:939-545-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8104103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical