Provider Demographics
NPI:1578157764
Name:SUAREZ MUNIZ, SARAH C (MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:SUAREZ MUNIZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. EL CONQUISTADOR
Mailing Address - Street 2:Q-32 CALLE 13
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-202-6545
Mailing Address - Fax:
Practice Address - Street 1:MONTE ATENAS OFFICE PARK
Practice Address - Street 2:AVENIDA LAS CUMBRES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-662-2202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-27
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6919103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist