Provider Demographics
NPI:1922019629
Name:NORMAN SUTHERLAND, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:NORMAN SUTHERLAND
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:PO BOX 79112
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-9112
Mailing Address - Country:US
Mailing Address - Phone:787-529-0739
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA LAUREL
Practice Address - Street 2:ESQUINA SANTA JUANITA #100
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-269-0988
Practice Address - Fax:787-995-6925
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist