| Doctor Name: | ALEJANDRO BAUZA CORDERO |
| NPI Number: | 1114186285 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CONSEJERO PROFECIONA |
| License Number: | 2162 |
| Business Practice Address: | Calle Maga Frente Al Hospital De Psiciatria Centromedico Drug Court Assmca Rio Piedras, PR - 00250 |
| Business Phone Number: | 7876410774 |
| Business Fax Number: | 7876412759 |
| Mailing Address: | Po Box 2615, BAYAMON |
| State: | PR |
| Postal Code: | 009602615 |
| Phone Number: | 7877856690 |
| Fax Number: | 7877803103 |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |