Provider Demographics
NPI:1003994666
Name:SUAREZ, JAIME (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:U.S. EMBASSY LIMA
Mailing Address - Street 2:UNIT 3755
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:34031
Mailing Address - Country:US
Mailing Address - Phone:511-618-2426
Mailing Address - Fax:511-618-2767
Practice Address - Street 1:2401 E STREET NW - M/MED/QI - SA-1
Practice Address - Street 2:DEPARTMENT OF STATE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0102
Practice Address - Country:US
Practice Address - Phone:202-663-2453
Practice Address - Fax:202-663-3247
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010250332084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry