Provider Demographics
NPI:1356753198
Name:SUAREZ, HUGO LEONARDO (RN, RCP)
Entity type:Individual
Prefix:
First Name:HUGO
Middle Name:LEONARDO
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:RN, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1753 BARBOUR AVE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-4314
Mailing Address - Country:US
Mailing Address - Phone:619-504-1661
Mailing Address - Fax:
Practice Address - Street 1:1753 BARBOUR AVE
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-4314
Practice Address - Country:US
Practice Address - Phone:619-504-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA784990163W00000X
CA13461227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified