Healthcare Provider Details
I. General information
NPI: 1184800666
Provider Name (Legal Business Name): MARIA ISABEL ALMIRA SUAREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/15/2008
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 MICHIGAN AVE NW # 1620
WASHINGTON DC
20010-2916
US
IV. Provider business mailing address
22449 VERDE GATE TER
BRAMBLETON VA
20148-3667
US
V. Phone/Fax
- Phone: 202-476-2051
- Fax: 202-476-4030
- Phone: 434-229-4718
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZN0500X |
| Taxonomy | Neuropathology Physician |
| License Number | MD041398 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | MD041398 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: