Individual ProviderSuzette EspadaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressUniversity District Hospital Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00935-0001(787) 754-0101PECOS EnrollmentBased on the most recent information from CMS, provider Suzette Espada is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972858900Provider TypeIndividualFull NameEspada, SuzetteTitleDr.CredentialD.M.D.GenderFemaleSole ProprietorYesEnumeration Date7/16/2012Last Updated7/16/2012Contact InformationPractice LocationPractice AddressUniversity District Hospital Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00935-0001Phone(787) 754-0101FaxUnlisted FaxMailing LocationMailing AddressPO Box 2116, San Juan, PR 00922-2116Phone(787) 754-0101FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer