Healthcare Provider Details

I. General information

NPI: 1619846987
Provider Name (Legal Business Name): CLORINDA B SUAREZ RRT-NPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

68 MOUNT HOPE ST
ROSLINDALE MA
02131-3835
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-4497
  • Fax: 617-724-4495
Mailing address:
  • Phone: 617-461-5450
  • Fax: 617-724-4495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number3674
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: