Provider Demographics
NPI:1972980498
Name:RODRIGUEZ SUAREZ, MARIELA CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:MARIELA
Middle Name:CRISTINA
Last Name:RODRIGUEZ SUAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B9 CALLE ISABEL LA CATOLICA
Mailing Address - Street 2:MANSIONES REALES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5266
Mailing Address - Country:US
Mailing Address - Phone:787-206-3915
Mailing Address - Fax:
Practice Address - Street 1:TORRE MEDICA HOSPITAL MENONITA
Practice Address - Street 2:OFICINA 206
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21182207R00000X, 207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program