Active NPI
Damaris Suarez-Gonzalez
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1467632216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16919
- Practice address
- Carr 110 KM 3.3 Bo Arenales
Sector la Charca
Aguadilla, PR 00603-9466 - Phone
- (787) 890-5603
- NPI assigned
- Nov 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16919 | PR | Primary |
Addresses
Primary practice location
Carr 110 KM 3.3 Bo Arenales
Sector la Charca
Aguadilla, PR 00603-9466
Mailing address
HC 7 Box 37865
Aguadilla, PR 00603-9466
Phone (787) 890-5603
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080122000063 | PR | Practitioner - General Practice | 9739260399 |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Carr 110 KM
6 Bo. Arenales
Aguadilla, PR 00603-9466
Phone (787) 890-0789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16919 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1467632216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 7 BOX 37865",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039466",
"telephone_number": "787-890-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 110 KM 3.3 BO ARENALES",
"address_2": "SECTOR LA CHARCA",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039466",
"telephone_number": "787-890-5603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ-GONZALEZ",
"first_name": "DAMARIS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-09",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.