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General NPI Number Information
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NPI Number | 1780948141
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Entity Type | Individual
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Provider Name | LUIS CESAR SUAREZ-RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2012
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 267 GRANT ST
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2805
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Country | US
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Telephone | 203-384-3235
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Fax |
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Provider Business Mailing Address
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Address Line | 645 WOODRUFF RD
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City | MILFORD
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State | CT
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Zip | 06461-2044
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Country | US
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Telephone | 718-710-5009
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 56367
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 75180
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 75180
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 75180
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License Number State | CT
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