Provider Demographics
NPI:1831654300
Name:SUAREZ, RUBEN G
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:G
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17150 NW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3500
Mailing Address - Country:US
Mailing Address - Phone:305-345-7974
Mailing Address - Fax:305-624-1232
Practice Address - Street 1:17131 NW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-3923
Practice Address - Country:US
Practice Address - Phone:305-620-4527
Practice Address - Fax:305-627-1975
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion