Individual
DR. ROMAN SUAREZ ENRIQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 400, NORTH KANSAS CITY, MO 64116-3251
(816) 421-4240
(816) 421-5015
Mailing address
2700 CLAY EDWARDS DR, SUITE 400, NORTH KANSAS CITY, MO 64116-3251
(816) 421-4240
(816) 421-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR6760
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08411065
BCBS OF KC INDIVIDUAL #
—
01
—
110231295
RAILROAD MEDICARE
—
05
—
201218443
—
MO
Enumeration date
02/03/2006
Last updated
04/20/2017
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