Provider Demographics
NPI:1336887553
Name:MARTINEZ-SUAREZ, RUBEN DARIO (MD)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:DARIO
Last Name:MARTINEZ-SUAREZ
Suffix:
Gender:M
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:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:ENSENADA
Mailing Address - State:PR
Mailing Address - Zip Code:00647-0582
Mailing Address - Country:US
Mailing Address - Phone:787-391-4270
Mailing Address - Fax:
Practice Address - Street 1:KM 11.7 PR-2
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-391-4270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program