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General NPI Number Information
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NPI Number | 1558924233
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Entity Type | Individual
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Provider Name | JUAN SUERO
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 355 CALLE FONT MARTELO
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City | HUMACAO
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State | PR
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Zip | 00791-3249
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Country | US
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Telephone | 787-852-0768
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BEACH VILLAGE DR APT 251
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City | HUMACAO
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State | PR
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Zip | 00791-6172
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Country | US
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Telephone | 786-424-6884
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9615399
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11036445
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 024782
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License Number State | PR
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