Healthcare Provider Details

I. General information

NPI: 1073446209
Provider Name (Legal Business Name): PAOLA N SUAREZ-QUIROS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 637
AGUIRRE PR
00704-0637
US

IV. Provider business mailing address

PO BOX 637
AGUIRRE PR
00704-0637
US

V. Phone/Fax

Practice location:
  • Phone: 939-294-6165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9204
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: