Provider Demographics
NPI:1114474236
Name:SULEIMAN, MOHAMMAD NADER (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:NADER
Last Name:SULEIMAN
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 1:1441 CALLE J FERRER Y FERRER
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4155
Mailing Address - Country:US
Mailing Address - Phone:787-528-7121
Mailing Address - Fax:
Practice Address - Street 1:1441 CALLE J FERRER Y FERRER
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4155
Practice Address - Country:US
Practice Address - Phone:787-528-7121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32637R207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology