MEDICARE: CARMEN SUAREZ ROSADO AUD

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	2355A2700X	Audiology Assistant
2	231HA2500X	Assistive Technology Supplier Audiologist	000532	PR

General Provider Information

NPI Number	:	1306931217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN SUAREZ ROSADO AUD

Provider Business Mailing Address
First Line	:	PO BOX 1808
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00737
Country	:	US
Telephone Number	:	787-792-0760
Fax Number	:	787-792-0635

Provider Business Practice Location Address
First Line	:	1627 AVE JESUS T PINERO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00920-5407
Country	:	US
Telephone Number	:	787-792-0760
Fax Number	:	787-792-0635

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/17/2018

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Directions to “ CARMEN SUAREZ ROSADO AUD” Practice Location

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