Provider Demographics
NPI:1689840860
Name:SUAREZ RIVERA, CINDY (DMD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:SUAREZ RIVERA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 402 KM 1.8
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9564
Mailing Address - Country:US
Mailing Address - Phone:787-247-2332
Mailing Address - Fax:
Practice Address - Street 1:1 CARR 402
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-2017
Practice Address - Country:US
Practice Address - Phone:787-247-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054372-1122300000X
PR2805122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist