Susana T. Donaire, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME#0045956 Issued in FL

Legal business name

SUSANA T. DONAIRE, MD, PA

Practice address

255 SE 7TH Ave
Suite 1
Crystal River, FL 34429-4848

Phone

(352) 564-8620

Fax

(352) 564-9278

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Susana T Donaire, MD

Title

Medical Doctor

Phone

(352) 564-8620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1073813630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "address_2": "SUITE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-564-8620",
            "fax_number": "352-564-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "address_2": "SUITE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-564-8620",
            "fax_number": "352-564-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANA T. DONAIRE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "DONAIRE",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "352-564-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME#0045956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.