Provider Demographics
NPI:1811029150
Name:JOSE I. SUAREZ RAMOS
Entity type:Organization
Organization Name:JOSE I. SUAREZ RAMOS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:INARK
Authorized Official - Last Name:SUAREZ RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-849-2824
Mailing Address - Street 1:40 CALLE FLAMBOYAN
Mailing Address - Street 2:BO. LAVADERO # 1
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-9793
Mailing Address - Country:US
Mailing Address - Phone:787-849-2824
Mailing Address - Fax:787-849-2824
Practice Address - Street 1:40 CALLE FLAMBOYAN
Practice Address - Street 2:BO. LAVADERO # 1
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-9793
Practice Address - Country:US
Practice Address - Phone:787-849-2824
Practice Address - Fax:787-849-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0059336Medicare PIN