Provider Demographics
NPI:1083716872
Name:ABRAHAM, CARLOS SUAREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:SUAREZ
Last Name:ABRAHAM
Suffix:
Gender:M
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:E22 URB SAN JOSE
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-4007
Mailing Address - Country:US
Mailing Address - Phone:787-378-3894
Mailing Address - Fax:
Practice Address - Street 1:E22 URB SAN JOSE
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-4007
Practice Address - Country:US
Practice Address - Phone:787-378-3894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR48802080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22989Medicare ID - Type Unspecified
D38151Medicare UPIN