Provider Demographics
NPI:1467632216
Name:SUAREZ-GONZALEZ, DAMARIS
Entity type:Individual
Prefix:DR
First Name:DAMARIS
Middle Name:
Last Name:SUAREZ-GONZALEZ
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:HC 7 BOX 37865
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9466
Mailing Address - Country:US
Mailing Address - Phone:787-890-5603
Mailing Address - Fax:
Practice Address - Street 1:CARR 110 KM 3.3 BO ARENALES
Practice Address - Street 2:SECTOR LA CHARCA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-9466
Practice Address - Country:US
Practice Address - Phone:787-890-5603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16919208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice