Provider Demographics
NPI:1639242324
Name:SUAREZHOYOS, JOSE VICENTE (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:VICENTE
Last Name:SUAREZHOYOS
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 1:6515 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5713
Mailing Address - Country:US
Mailing Address - Phone:813-932-0374
Mailing Address - Fax:813-367-3825
Practice Address - Street 1:6515 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5713
Practice Address - Country:US
Practice Address - Phone:813-932-0374
Practice Address - Fax:813-931-0658
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME22552207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD53813Medicare UPIN
FL29971Medicare ID - Type UnspecifiedPROVIDER NUMBER