LUIS BAEZ VALLECILLO (NPI# 1265788855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265788855 |
| Entity Type | Individual |
| Full Name | LUIS BAEZ VALLECILLO |
| Other Name | LUIS BAEZ VALLECILLO |
| Credential | MD |
| Practice Address |
97 Ave De Diego San Juan PR 00927-6310 |
| Mailing Address |
Urb. Paseos, Paseo San Juan Calle La Garita E-10 San Juan PR 00926 |
| Practice Telephone | 9395456353 |
| Practice Fax Number | 9395456354 |
| Mailing Telephone | 9395456353 |
| Mailing Fax Number | 9395456354 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 19615 | PR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | P6580 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
19615 | PR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 735 Ave Ponce De Leon Ste 515, San Juan, PR 009175027 | 8324725892 |
| Street Address |
97 AVE DE DIEGO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00927-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842659 | Pr Oncology LLC | Internal Medicine | 97 Ave De Diego, San Juan, PR 00927-6310 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089205 | Kassandra Marie Bordado May | Counselor | #1542, Calle Bori Urb. Belisa, San Juan, PR 00927 | 2020-10-07 |
| 1427675347 | Lourdes A. Gonzalez Vazquez | Psychologist | Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927 | 2020-06-26 |
| 1619592078 | Dra. Perfetto Salud Integral Psi | Emergency Medicine | 254 Ave Jesus T Pinero, Suite 2, San Juan, PR 00927 | 2020-06-11 |
| 1538784210 | Geishamarie Feliciano -de Jesus | Student in an Organized Health Care Education/Training Program | 207 Cll Cornell, Apt 402 Cond University Gardens, San Juan, PR 00927 | 2020-06-09 |
| 1669095543 | Stephanie Marie Segura-abreu | Student in an Organized Health Care Education/Training Program | Calle Sergio Cuevas Bustamante #550, Hato Rey, San Juan, PR 00927 | 2020-05-26 |
| 1376166702 | Anyelina Jimenez Frias | Student in an Organized Health Care Education/Training Program | Calle Sergio Cueva Bustamante, 550, San Juan, PR 00927 | 2020-05-20 |
| 1124650973 | Giancarlo Martinez Tellado | Student in an Organized Health Care Education/Training Program | Cooperativa Jardines De San Ignacio, Calle San Guillermo Apartamento 1909a, San Juan, PR 00927 | 2020-02-10 |
| 1033754940 | Carlos Eduardo Garcia-ocasio | Student in an Organized Health Care Education/Training Program | Urb. Villas De San Francisco Street 2 A-1, San Juan, PR 00927 | 2019-11-14 |
| 1548818909 | Jennifer Sotomayor Pabon | Chiropractor | 254 Avenida Jesus T Pinero, Local #3, San Juan, PR 00927 | 2019-08-29 |
| 1407404999 | Christian Ivan Ortiz Torres | Chiropractor | 254 Ave Jesus T. Pinero, Local #3, San Juan, PR 00927 | 2019-08-28 |
| Find all providers in zip 00927 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183388 | Prometheus Medical Group Psc | Internal Medicine | Torre Del Metropolitano 1789 Carr 21, Suite 301, San Juan, PR 00921 | 2018-11-15 |
| 1659828473 | Jose Carlos Lopez-puebla | Internal Medicine | Upr School of Medicine Medical Science Campus, Guillermo Arbona Building, San Juan, PR 00936-5067 | 2016-09-09 |
| 1821458704 | Sick Blood Med Serv Csp | Internal Medicine | 369 Calle De Diego Ste 603-604, San Juan, PR 00923-3003 | 2016-03-04 |
| 1194126896 | Metropolitan Oncology Center Psc | Internal Medicine | 1427 Ave Manuel Fernandez Juncos, Suite 101, San Juan, PR 00910-0000 | 2014-09-12 |
| 1912308610 | Cancer Center of The Caribbean | Internal Medicine | 1427 Ave. Manuel Fernandez Juncos, Suite 101, San Juan, PR 00910-0000 | 2014-09-12 |
| 1750780466 | Cancer Center of The Caribbean, LLC | Internal Medicine | 420 Ponce De Leon Edif Midtown, Suite 805, San Juan, PR 00919-0000 | 2014-08-19 |
| 1174937445 | Dr. Luis Flores Caban (hematologo Oncologo) Csp | Internal Medicine | Ave Ponce De Leon # 371, San Juan, PR 00918-1000 | 2014-06-16 |
| 1851656441 | Jose Efrain Abreu Arbelo | Internal Medicine | University Distristrict Hospital, Puerto Rico Medical Center Bo. Monacillos, San Juan, PR 00935-0001 | 2012-07-10 |
| 1255531505 | Francisco J. Muniz | Internal Medicine | 20 Calle Washington, Condo. Caribe 3a, San Juan, PR 00907-1531 | 2007-07-24 |
| 1154525566 | Wandaly Ibon Pardo-ruiz | Internal Medicine | Carr 21 Edif 1783, Con Villa Magna, Apt 1602, San Juan, PR 00921 | 2007-06-12 |
| 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.