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NPI Code Detail

MEDICARE: LUIS FERNANDO SUAREZ

MEDICARE: LUIS FERNANDO SUAREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSLPA11024AZ

General Provider Information

NPI Number : 1275032864
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS FERNANDO SUAREZ
Provider Business Mailing Address
First Line : 801 E MCKELLIPS RD APT 11B
Second Line :
City : TEMPE
State : AZ
Zip : 85281-1348
Country : US
Telephone Number : 928-581-7659
Fax Number :
Provider Business Practice Location Address
First Line : 6991 E CAMELBACK RD STE D300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-2492
Country : US
Telephone Number : 623-349-1373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2018
Last Update Date : 02/08/2018

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Directions to “ LUIS FERNANDO SUAREZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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