Provider / Organization | NPI | Date Certified |
---|---|---|
IVAN JON SUAREZ | 1912580531 | 2021-06-04 |
Ivan Jon Suarez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912580531. Registration indicates Ivan Jon Suarez is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Ivan Jon Suarez DPM |
Other Provider Name | Dr. Ivan Suarez |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |