Provider Demographics
NPI:1316403553
Name:FUENTES SUAREZ, CAROLINA MARIA (MD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:MARIA
Last Name:FUENTES SUAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF EMERGENCY MEDICINE UPR SCHOOL OF MEDICINE
Mailing Address - Street 2:PO BOX 29207 65 INF STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929
Mailing Address - Country:US
Mailing Address - Phone:877-757-1800
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL FEDERICO TRILLA
Practice Address - Street 2:KM 8. P.R. 3 CALLE 3, AV. 65 DE INFANTERIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15909207P00000X
390200000X
PR23958207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program