Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20760 | PR |
N | 111NI0900X | Internist | 20760 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | 20760 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | MD043969 | DC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 20760 | PR |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD043969 | DC |
NPI | 1124334875 |
---|---|
Provider Name | Dr. Jose M. Marcial Suarez |
First Address | San Juan, PR 00901-2247 |
Second Address | Cayey, PR 00737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2010 |
Last Update Date | 20/09/2019 |