MEDICARE: DEILY SANTIAGO SUAREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	1197	PR

General Provider Information

NPI Number	:	1003383399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEILY SANTIAGO SUAREZ

Provider Business Mailing Address
First Line	:	HACIENDA CONCORDIA
Second Line	:	CALLE CLAVEL 11216
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757
Country	:	US
Telephone Number	:	787-901-0381
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 CALLE JOSE I QUINTON
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-3041
Country	:	US
Telephone Number	:	787-901-0381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	02/05/2026

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Directions to “ DEILY SANTIAGO SUAREZ ” Practice Location

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