Healthcare Provider Details

I. General information

NPI: 1265643480
Provider Name (Legal Business Name): MARILIZ SUAREZ COLON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BDA. LA CARMEN 234 CALLE C
SALINAS PR
00751-2845
US

IV. Provider business mailing address

B14 URB LAS MARIAS
SALINAS PR
00751-2404
US

V. Phone/Fax

Practice location:
  • Phone: 787-601-3523
  • Fax:
Mailing address:
  • Phone: 787-601-3523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number21272
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: