Provider Demographics
NPI:1013131432
Name:NEONATOLOGIST ASSOCIATES, P.S.C.
Entity type:Organization
Organization Name:NEONATOLOGIST ASSOCIATES, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUAREZ VILLAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-892-1920
Mailing Address - Street 1:HC 03 BOX 26509
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-892-1920
Mailing Address - Fax:787-264-2760
Practice Address - Street 1:PR - 2 KM 173
Practice Address - Street 2:TORRE SAN VICENTE DE PAUL SUITE 509-510
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-1920
Practice Address - Fax:787-264-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty