MEDICARE: LAZARO NOEL SUAREZ L.M.H.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	101YM0800X	Mental Health Counselor	MH5813	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093936494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAZARO NOEL SUAREZ L.M.H.C.

Provider Business Mailing Address
First Line	:	PO BOX 650874
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33265-0874
Country	:	US
Telephone Number	:	305-244-5299
Fax Number	:

Provider Business Practice Location Address
First Line	:	945 NW 132ND AVE W
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-2313
Country	:	US
Telephone Number	:	305-244-5299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	06/08/2016

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