Juan A Desueza (NPI# 1871683821, PAC ID# 4688722754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1871683821 |
| PAC ID by PECOS | 4688722754 |
| Professional Enrollment ID | I20090429000105 |
| Full Name | Juan A Desueza |
| Organization Legal Name | CENTRO MEDICO IBEROAMERICANO INC. |
| Address |
416 Park Ave Paterson NJ 07504-1930 |
| Phone Number | 9736848138 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830287176 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 416 Park Ave, Paterson, NJ 07504-1930 | 9736848138 | CENTRO MEDICO IBEROAMERICANO INC. |
| Organization Legal Name | CENTRO MEDICO IBEROAMERICANO INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nidia Ortega | Family Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Melissa Amy Desueza | Nurse Practitioner | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Ramon A Sandoval | Internal Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Street Address |
416 PARK AVE |
| City | PATERSON |
| State | NJ |
| Zip | 07504-1930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nidia Ortega | Family Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Melissa Amy Desueza | Nurse Practitioner | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Ramon A Sandoval | Internal Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Goler | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Daniel J Waltuch | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Alvaro Tellez | Internal Medicine | 466 Park Ave, Paterson, NJ 07504-1806 | |
| Fred Revoredo | General Practice | 425 15th Ave, Suite 2, Paterson, NJ 07504-1811 | |
| Pudchong Srisethnil | Internal Medicine | 561 E 28th St, Paterson, NJ 07504-1862 |
| City | PATERSON |
| Zip Code | 07504 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PATERSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Juan A Desueza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.