Individual
DR. BONADELVERT C SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42421 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2405
(985) 542-1317
(985) 542-1958
Mailing address
42421 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2405
(985) 542-1317
(985) 542-1958
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD.04720R
LA
2088P0231X
Pediatric Urology Physician
Primary
MD04720R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1313033
—
LA
Enumeration date
06/10/2005
Last updated
10/03/2008
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