Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 8570 | PR |
NPI | 1952300600 |
---|---|
Provider Name | Francisco R Suarez Lozada |
First Address | Mayaguez, PR 00680-4949 |
Second Address | Mayaguez, PR 00680-4949 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 11/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D08559 | (02) | PR |