Provider Demographics
NPI:1508412743
Name:SUAREZ, VIRGINIA CLAIRE
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:CLAIRE
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 NW 45TH CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5752
Mailing Address - Country:US
Mailing Address - Phone:561-322-5584
Mailing Address - Fax:
Practice Address - Street 1:7800 NW 45TH CT
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5752
Practice Address - Country:US
Practice Address - Phone:561-322-5584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant