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NPI Code Detail

MEDICARE: ELMER RIVAS-SUAREZ MSN, CNS, RN

MEDICARE: ELMER RIVAS-SUAREZ MSN, CNS, RN
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
1364SS0200XSchool Clinical Nurse Specialist3404PR

General Provider Information

NPI Number : 1639833858
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELMER RIVAS-SUAREZ MSN, CNS, RN
Provider Business Mailing Address
First Line : URB ANDREAS COURT
Second Line : 370 CALLE 10 APDO 169
City : TRUJILLO ALTO
State : PR
Zip : 00976-7823
Country : US
Telephone Number : 787-922-4695
Fax Number :
Provider Business Practice Location Address
First Line : 12 CALLE TERESA JORNET
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-7517
Country : US
Telephone Number : 787-777-1285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2021
Last Update Date : 10/25/2021

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