Healthcare Provider Details

I. General information

NPI: 1578157764
Provider Name (Legal Business Name): SARAH C SUAREZ MUNIZ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2021
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 CALLE MARINA
ENSENADA PR
00647-9539
US

IV. Provider business mailing address

755 CALLE MARINA
ENSENADA PR
00647-9539
US

V. Phone/Fax

Practice location:
  • Phone: 787-202-6545
  • Fax:
Mailing address:
  • Phone: 787-202-6545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6919
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: