Provider Demographics
NPI:1083504138
Name:SUAREZ, CARMEN ABRIL
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:ABRIL
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 1:118 W ELLIS ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NOGALES
Mailing Address - State:AZ
Mailing Address - Zip Code:85621-2246
Mailing Address - Country:US
Mailing Address - Phone:520-313-7229
Mailing Address - Fax:
Practice Address - Street 1:118 W ELLIS ST APT 1
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-2246
Practice Address - Country:US
Practice Address - Phone:520-313-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-09265225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist