Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Baldazo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891371472

Samuel Baldazo is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-5321
Fax: (434) 982-3816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891371472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address1215 Lee St, Charlottesville, VA 22908-0816

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