Individual
DR. CARLOS ALBERTO SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2012 S PROMENADE BLVD, ROGERS, AR 72758
(479) 616-1485
Mailing address
3291 S THOMPSON ST STE D101, SPRINGDALE, AR 72764-7357
(479) 419-9955
(888) 960-2823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-7482
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278512
—
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
E-7482
ARKANSAS LICENSE
AR
01
—
P00389916
RR MEDICARE NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
11/01/2006
Last updated
11/10/2021
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