LUIS LEDO SUAREZ (NPI# 1063050896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063050896 |
| Entity Type | Individual |
| Full Name | LUIS LEDO SUAREZ |
| Practice Address |
153 Bergen Blvd Fairview NJ 07022-1941 |
| Mailing Address |
1775 Windsor Rd Apt 438 Teaneck NJ 07666-3018 |
| Practice Telephone | 2013660805 |
| Mailing Telephone | 7879345721 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00765400 | NJ | Chiropractic Providers |
| Street Address |
153 BERGEN BLVD |
| City | FAIRVIEW |
| State | NJ |
| Zip Code | 07022-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931770 | Richard Santos | Physical Therapist | 153 Bergen Blvd, Fairview, NJ 07022-1941 | 2019-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043393085 | Advanced Physical Medicine Center, LLC | Clinic/Center | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1932125952 | Open Mri of Fairview | Clinic/Center | 178 Bergen Blvd, Fairview, NJ 07022 | 2006-07-14 |
| 1104902212 | Marianne Encarnacion | Physical Therapist | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1831275940 | David Berk | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1548343585 | Michael Arber | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1154599421 | Evan Reinecke | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-20 |
| 1326216813 | Max Gruenberg | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-18 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1780077875 | Mina Garas | Pharmacist | 374 Park Ave, Fairview, NJ 07022-1114 | 2015-03-12 |
| Find all providers in zip 07022 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732123 | Greenhead Diagnostics, LLC | Chiropractor | 637 Merlot Ct, Fairview, TX 75069-1521 | 2015-10-08 |
| 1619135886 | Lenore Lynn Wolfe | Chiropractor | 29945 Palm Rd, Fairview, MO 64842-7107 | 2008-05-23 |
| 1790950228 | Springwater Chiropractic Inc | Chiropractor | 1659 Ne Market Drive, Fairview, OR 97024-3867 | 2008-04-25 |
| 1558548024 | Lee W. Ligon, D.c., P.C. | Chiropractor | 990 State Highway 5, Suite 103, Fairview, TX 75069-9461 | 2008-01-28 |
| 1295954030 | Brian Edward Kiczek | Chiropractor | 216 Anderson Ave, Rear Office, Fairview, NJ 07022-1468 | 2007-04-24 |
| 1750509402 | Bergen Spine Center, LLC | Chiropractor | 323 Bergen Boulevard, Fairview, NJ 07022-1334 | 2007-04-20 |
| 1275756181 | Lee Wilson Ligon | Chiropractor | 990 S State Highway 5, Suite 103, Fairview, TX 75069-9461 | 2007-04-10 |
| 1891815957 | Robert Craig Stassi I | Chiropractor | 1606 Ne 223rd Ave, Fairview, OR 97024-2662 | 2007-03-30 |
| 1699816538 | Brian M Wraith | Chiropractor | 323 Bergen Blvd, Suite 3, Fairview, NJ 07022-1334 | 2007-02-12 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.