Provider Demographics
NPI:1902545379
Name:SUAREZ, MARI CARLA
Entity Type:Individual
Prefix:
First Name:MARI
Middle Name:CARLA
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 GREENHOUSE RD APT 1412
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7812
Mailing Address - Country:US
Mailing Address - Phone:832-683-8134
Mailing Address - Fax:
Practice Address - Street 1:2040 GREENHOUSE RD APT 1412
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7812
Practice Address - Country:US
Practice Address - Phone:832-683-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)