Individual
MR. SCOTT SUAZO HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
VILLA ESTELA #9, AGUADILLA, PR 00603
(787) 891-8922
Mailing address
HC 4 BOX 48579, AGUADILLA, PR 00603-9787
(787) 378-7421
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000790-P.A.
PR
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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