Provider Demographics
NPI:1760908347
Name:SUAREZ, JOSE I (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:I
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 N 10TH ST STE R
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6463
Mailing Address - Country:US
Mailing Address - Phone:956-647-7842
Mailing Address - Fax:
Practice Address - Street 1:2428 E 10TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7307
Practice Address - Country:US
Practice Address - Phone:956-647-7842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1294261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist