Provider Demographics
NPI:1043208762
Name:SCHWARZ, SUSANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSANA
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TORRE CIBELES 911
Mailing Address - Street 2:592 CALLE CESAR GONZALES
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-754-0907
Mailing Address - Fax:787-751-3342
Practice Address - Street 1:592 CALLE CESAR GONZALEZ
Practice Address - Street 2:TORRE CIBELES APT.911
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3926
Practice Address - Country:US
Practice Address - Phone:787-754-0907
Practice Address - Fax:787-751-3342
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF39106Medicare UPIN