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General NPI Number Information
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NPI Number | 1063605509
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Entity Type | Organization
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Legal Business Name | MARIA R. SUAREZ MD,CSP
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 08/18/2007
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Provider Practice Location Address
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Address Line | 50 CALLE SAN MIGUEL
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City | GUANICA
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State | PR
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Zip | 00653-2810
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Country | US
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Telephone | 787-821-1821
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Fax | 787-821-1821
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | YAUCO
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State | PR
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Zip | 00698-0218
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Country | US
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Telephone | 787-821-1821
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Fax | 787-821-1821
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA R. SUAREZ
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Credential | MD
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Telephone | 787-821-1821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 9794
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License Number State | PR
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