Provider Demographics
NPI:1063540516
Name:SUAREZ, SYLVIA R
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:R
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 890
Mailing Address - Street 2:PMB 401
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0890
Mailing Address - Country:US
Mailing Address - Phone:787-850-7503
Mailing Address - Fax:
Practice Address - Street 1:ROAD #3 KM 85.6
Practice Address - Street 2:BO. CANDELERO ARRIBA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0890
Practice Address - Country:US
Practice Address - Phone:787-850-7503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3383183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist