Provider Demographics
NPI:1003629122
Name:DUANY SUAREZ, YOLANDA (CFSA)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:DUANY SUAREZ
Suffix:
Gender:F
Credentials:CFSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 POLYNESIA DR APT 310
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1745
Mailing Address - Country:US
Mailing Address - Phone:669-207-7125
Mailing Address - Fax:
Practice Address - Street 1:1110 POLYNESIA DR APT 310
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1745
Practice Address - Country:US
Practice Address - Phone:669-207-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246ZC0007X
246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant