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Individual

DR. ENIO R SUASNAVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
D27 CALLE 8, PASEO MAYOR, SAN JUAN, PR 00926-4697
(787) 755-5105
(787) 761-2944
Mailing address
D27 CALLE 8, PASEO MAYOR, SAN JUAN, PR 00926-4697
(787) 755-5105
(787) 761-2944

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8094
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8094
MEDICAL LICENSE
PR
Enumeration date
08/20/2006
Last updated
07/09/2007
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