Individual provider · Type 1 NPI
Juan Pablo Baltazar, MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1487453817
Active
Practice location
104 Haven Ave Ste 105
New York, NY 10032-2654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1487453817
Juan Pablo Baltazar, MEDICAL STUDENT's National Provider Identifier is 1487453817, issued on Mar 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 10, 2025.