Individual provider Active NPI

Dharma D. Suris, MD

  • Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1003019977
Registry record updated May 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17815 Issued in PR
Practice address
471 Calle Ferrocarril
Santa Maria Office Building
Ponce, PR 00717-4199
Phone
(787) 961-4841
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17815 PR Primary

Addresses

Primary practice location

471 Calle Ferrocarril
Santa Maria Office Building
Ponce, PR 00717-4199

Mailing address

PO Box 9512
Caguas, PR 00726-9512
Phone (787) 961-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000184 PR Practitioner - Psychiatry 0446407902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Hospital Panamericano, Inc. CurrentSince May 15, 2012 Accepting new patients
Mennonite General Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273363200000",
    "number": "1003019977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9512",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269512",
            "telephone_number": "787-961-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 CALLE FERROCARRIL",
            "address_2": "SANTA MARIA OFFICE BUILDING",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007174199",
            "telephone_number": "787-961-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIS",
        "first_name": "DHARMA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "17815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.