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CDT DR MANUEL QUEVEDO BAEZ
NPI 1811102502
Clinic/Center - Public Health, State or Local in San Juan, PR

Active since May 14, 2007CLIA 40D2015471 · Waiver
359 CALLE SAN AGUSTIN PUERTA DE TIERRA, SAN JUAN, PR 00901(787) 480-3901 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Cdt Dr Manuel Quevedo Baez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CDT DR MANUEL QUEVEDO BAEZ (NPI 1811102502) is a healthcare organization registered as a public health, state or local in San Juan, Puerto Rico and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Stephanie Rodriguez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811102502
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCDT DR MANUEL QUEVEDO BAEZ
Location Address359 CALLE SAN AGUSTIN PUERTA DE TIERRASan Juan, PR 00901-2908
Mailing AddressPo Box 21405San Juan, PR 00928-1405 · (787) 480-3901 · Fax (787) 724-0696
Phone(787) 480-3901
Organization SubpartNo
Authorized OfficialStephanie RodriguezAdministrator · (787) 480-3901
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1811102502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D2015471

Cdt Dr Manuel Quevedo · San Juan, PR
Active · expires Oct 27, 2026
CLIA Number40D2015471
Laboratory TypeMunicipal Health Lab
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDr. Veronica Rodriguez
Laboratory Phone(787) 480-3900
Laboratory LocationCdt Dr Manuel Quevedo359 Calle San Agustin Puerta De Tierra, San Juan, PR 00901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cdt Dr Manuel Quevedo Baez's NPI number?

The NPI number for Cdt Dr Manuel Quevedo Baez is 1811102502. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Cdt Dr Manuel Quevedo Baez located?

Cdt Dr Manuel Quevedo Baez is located at 359 Calle San Agustin Puerta De Tierra, San Juan, PR 00901. The listed phone number is (787) 480-3901.

What is Cdt Dr Manuel Quevedo Baez's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Does Cdt Dr Manuel Quevedo Baez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2015471) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cdt Dr Manuel Quevedo Baez was last updated on May 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.