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General NPI Number Information
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NPI Number | 1083716872
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Entity Type | Individual
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Provider Name | CARLOS SUAREZ ABRAHAM MD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | E22 URB SAN JOSE
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City | AIBONITO
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State | PR
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Zip | 00705-4007
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Country | US
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Telephone | 787-378-3894
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Fax |
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Provider Business Mailing Address
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Address Line | E22 URB SAN JOSE
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City | AIBONITO
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State | PR
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Zip | 00705-4007
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Country | US
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Telephone | 787-378-3894
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 4880
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License Number State | PR
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