Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 47247 | CO |
Y | 207RP1001X | Pulmonary Disease | 47247 | CO |
NPI | 1063494615 |
---|---|
Provider Name | Dr. Janet R Suarez |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80205-5422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027835 | KAISER COMMERCIAL NUMBER (01) | CO |
70232342 | (05) | CO |