Provider Demographics
NPI:1215284435
Name:SUAREZ, SORANIA INES (PHARMD)
Entity type:Individual
Prefix:
First Name:SORANIA
Middle Name:INES
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STREET 180 KM 0.2, BO PUEBLO BO. PUEBLO PLAZA SALINAS
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-3212
Mailing Address - Country:US
Mailing Address - Phone:787-824-5408
Mailing Address - Fax:787-824-1545
Practice Address - Street 1:STREET 180 KM0.2, BO PUEBLO BO.PUEBLO PLAZA SALINAS
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-3212
Practice Address - Country:US
Practice Address - Phone:787-824-5408
Practice Address - Fax:787-824-1545
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5388183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist