Provider Demographics
NPI:1295977619
Name:SUAREZ, MARIA CRISTINA (LMT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CRISTINA
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 NW 12TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2621
Mailing Address - Country:US
Mailing Address - Phone:305-200-3992
Mailing Address - Fax:
Practice Address - Street 1:3910 NW 12TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2621
Practice Address - Country:US
Practice Address - Phone:305-200-3992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA42991363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant