Healthcare Provider Details

I. General information

NPI: 1013131432
Provider Name (Legal Business Name): NEONATOLOGIST ASSOCIATES, P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 09/18/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR - 2 KM 173 TORRE SAN VICENTE DE PAUL SUITE 509-510
SAN GERMAN PR
00683
US

IV. Provider business mailing address

HC 03 BOX 26509
SAN GERMAN PR
00683
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-1920
  • Fax: 787-264-2760
Mailing address:
  • Phone: 787-892-1920
  • Fax: 787-264-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MIGUEL A SUAREZ VILLAMIL
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 787-892-1920