Basic Information
| Provider Information | |||||||||
| NPI: | 1649530841 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUZMAN-SUAREZ | ||||||||
| FirstName: | BELISA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 410 E HALLANDALE BEACH BLVD | ||||||||
| Address2: | CHEN MEDICAL HALLANDALE, INC | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330095584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544545777 | ||||||||
| FaxNumber: | 9549240812 | ||||||||
| Practice Location | |||||||||
| Address1: | 410 E HALLANDALE BEACH BLVD | ||||||||
| Address2: | CHEN MEDICAL HALLANDALE, INC | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330095584 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544545777 | ||||||||
| FaxNumber: | 9549240812 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2012 | ||||||||
| LastUpdateDate: | 08/06/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 251812 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | ME121956 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.