Healthcare Provider Details

I. General information

NPI: 1871524744
Provider Name (Legal Business Name): MARIA DEL R. SUAREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CALLE SAN MIGUEL
GUANICA PR
00653-2810
US

IV. Provider business mailing address

PO BOX 218
YAUCO PR
00698-0218
US

V. Phone/Fax

Practice location:
  • Phone: 787-821-1821
  • Fax: 787-821-1821
Mailing address:
  • Phone: 787-821-2304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9794
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: