Provider Demographics
NPI:1063444065
Name:RAMOS SUAREZ, FARIDA M (MD)
Entity type:Individual
Prefix:DR
First Name:FARIDA
Middle Name:M
Last Name:RAMOS 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:PO BOX 4002
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-4002
Mailing Address - Country:US
Mailing Address - Phone:787-891-5482
Mailing Address - Fax:787-891-5482
Practice Address - Street 1:CARR 2 KM 1225 BO CAIMITAL ALTO
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-891-5482
Practice Address - Fax:787-891-5482
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10296208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660559725OtherTAX ID
PR660559725OtherTAX ID
PRG73384Medicare UPIN