SERGIO GABRIEL SUAREZ (NPI# 1417920091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417920091 |
| Entity Type | Individual |
| Full Name | SERGIO GABRIEL SUAREZ |
| Credential | MD |
| Practice Address |
72 Guy Lombardo Ave Suite 1 Freeport NY 11520 |
| Practice Telephone | 5163772727 |
| Practice Fax Number | 5163778088 |
| Mailing Telephone | 5163772727 |
| Mailing Fax Number | 5163778088 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2011-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 199943 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01635047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487797742 | Sergio V Suarez | Chiropractor | 2027 Grand Canal Blvd Ste 21, Stockton, CA 95207-6650 | 2007-02-15 |
| 1053750380 | Sergio Alberto Suarez | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2013-06-20 |
| Street Address |
72 GUY LOMBARDO AVE SUITE 1 |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043469380 | Integral Enrichment Services | Social Worker | 72 Guy Lombardo Ave, Suite # 2, Freeport, NY 11520-3742 | 2008-09-11 |
| 1831309715 | Priska Imberti | Social Worker | 72 Guy Lombardo Ave, Suite # 2, Freeport, NY 11520-3742 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942798707 | Ibis Health Services-maine LLC | Internal Medicine | 140 Main St Ste 3, Freeport, ME 04032-1348 | 2018-04-27 |
| 1972053890 | Long Island Detox Inc. | Internal Medicine | 157 N Bayview Ave, Freeport, NY 11520-1901 | 2016-10-04 |
| 1134431455 | Laurie Ann Ramrattan | Internal Medicine | 153 Mission Road, Freeport, TRINIDAD 11111 | 2010-07-02 |
| 1487796850 | Johnson C Chan | Internal Medicine | 190 W Merrick Road, Freeport, NY 11520 | 2007-02-13 |
| 1740208933 | Scott Vincent Rankin | Internal Medicine | 276 Moore Ave, Freeport, NY 11520-1042 | 2006-07-17 |
| 1184662835 | Twin Cities Primary Care, LLC | Internal Medicine | 479 Highway 20 E, Freeport, FL 32439-3931 | 2006-06-03 |
| 1538137351 | Sakdidej Suwan | Internal Medicine | 419 Market St, Freeport, PA 16229-1121 | 2006-03-09 |
| 1487620803 | William C Sharelis | Internal Medicine | 750 Kiwanis Dr, Freeport, IL 61032-7119 | 2006-02-25 |
| 1164494449 | George Gregory Ross | Internal Medicine | 281 State Highway 20 E, Freeport, FL 32439-3929 | 2006-02-02 |
| 1316928617 | Peter K Chak | Internal Medicine | 33 North Ocean Ave, Freeport, NY 11520 | 2005-11-14 |
| Find all providers in FREEPORT | ||||
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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.