Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 31932 | FL |
NPI | 1053358200 |
---|---|
Provider Name | Dr. Andres Enrique Suarez |
First Address | Palm Beach Gardens, FL 33410-3446 |
Second Address | Palm Beach Gardens, FL 33410-3446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
065243100 | (05) | FL |
50989 | BCBS OF FL (01) | FL |