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Individual
DR. RENE A SUEIRO
Active
Individual
DR. RENE A SUEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME102035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000110100
—
FL
01
—
321345
AVMED
FL
01
—
33181
FLORIDA BLUE
FL
01
—
3463332
CIGNA
FL
01
—
48727
BLUE CROSS/BLUE SHIELD
FL
01
—
512280
STAYWELL/HEALTHEASE
FL
01
—
9731241
AETNA
FL
Enumeration date
04/06/2007
Last updated
07/12/2019
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