Individual
DR. JUAN R SUAREZ-PESANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE CASIA, ATTN: SURGICAL SERVICE (112), SAN JUAN, PR 00921-3200
(787) 641-2975
(787) 641-4380
Mailing address
PO BOX 33067, VETERANS PLAZA STATION, SAN JUAN, PR 00933-3067
(787) 641-2975
(787) 641-4380
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11454
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87705
TRIPLE S
PR
01
—
9180422
HUMANA
PR
01
—
N620
FIRST MEDICAL
PR
Enumeration date
06/13/2006
Last updated
06/09/2010
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