Scott Suazo Humphreys, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000790-P.A. Issued in PR

Practice address

Villa Estela #9
Aguadilla, PR 00603

Phone

(787) 891-8922

NPI assigned

Apr 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1710675574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 48579",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039787",
            "telephone_number": "787-378-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA ESTELA #9",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAZO HUMPHREYS",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "000790-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Episcopal Church Home Care Program
• State Insurance Fund
• Benjamin Stixrud, HS, AMS, NREMT
• Hector Luis Suarez Medina
• Damaris Suarez-Gonzalez
• Super Heroes 5K Inc
• Moises Suzana Abreu
• Sylvette G Peterson
• Tactical Anesthesia, PSC
• Wanda I Talavera Muniz, PHD

• Medical Physician Assistant in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.