Provider Demographics
NPI:1871524744
Name:SUAREZ, MARIA DEL R (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL R
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0218
Mailing Address - Country:US
Mailing Address - Phone:787-821-2304
Mailing Address - Fax:
Practice Address - Street 1:50 CALLE SAN MIGUEL
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-2810
Practice Address - Country:US
Practice Address - Phone:787-821-1821
Practice Address - Fax:787-821-1821
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9794208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660650289OtherTAX