| Doctor Name: | DR. SAMARA BAEZ-QUINONES |
| NPI Number: | 1174684153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 15532 |
| Business Practice Address: | 1715 Ave Ponce De Leon Ste S1 San Juan, PR - 009091966 |
| Business Phone Number: | 7874586177 |
| Business Fax Number: | |
| Mailing Address: | Cond Jardines De Montehiedra 1500, Apto 801 SAN JUAN |
| State: | PR |
| Postal Code: | 00926 |
| Phone Number: | 7874586177 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |