Healthcare Provider Details

I. General information

NPI: 1013902675
Provider Name (Legal Business Name): ERIC SILVESTRE SUAREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVENUE PATHOLOGY DEPT., BUILDING 9
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

19234 DIMONA DR
BROOKEVILLE MD
20833-2630
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-8216
  • Fax:
Mailing address:
  • Phone: 301-570-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number7147
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number7147
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: