Individual
MR. EDWIN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T
Contact information
Practice address
3620 E SUNSET RD, SUITE 100, LAS VEGAS, NV 89120-6222
(702) 368-6778
(702) 368-6775
Mailing address
3620 E SUNSET RD, SUITE 100, LAS VEGAS, NV 89120-7233
(702) 368-6778
(702) 368-6775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1700
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500010
—
NV
01
—
CC8585
BLUECROSS BLUESHEILD
NV
Enumeration date
03/17/2006
Last updated
08/13/2021
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