Individual
MR. CARLOS JULIO SUAREZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, MSN
Contact information
Practice address
CALLE MAGA FINAL PABELLON G, TERRENO PSIQUIATRIA ESTATAL, SAN JUAN, PR 00921
(787) 754-4100
Mailing address
444 CONDOMINIO DE DIEGO, APT 501, SAN JUAN, PR 00923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80463
PR
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
80463
PR
163WP0808X
Psychiatric/Mental Health Registered Nurse
80463
PR
163WP2201X
Ambulatory Care Registered Nurse
80463
PR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
80463
PR
Other
Enumeration date
02/13/2017
Last updated
05/24/2021
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