Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 12697 | SD |
NPI | 1053793661 |
---|---|
Provider Name | Jose Francisco Suarez Isaacs |
First Address | Sioux Falls, SD 57108-2592 |
Second Address | Sioux Falls, SD 57108-2592 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2015 |
Last Update Date | 26/07/2021 |