Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 4880 | PR |
NPI | 1083716872 |
---|---|
Provider Name | Dr. Carlos Suarez Abraham |
First Address | Aibonito, PR 00705-4007 |
Second Address | Aibonito, PR 00705-4007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 11/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D38151 | (02) |