Individual provider Active NPI

Damaris Suarez-Gonzalez

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1467632216
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16919 Issued in PR
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

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
16919PRMDGeneral 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

Verify at the official NPI Registry.