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NPI Code Detail

MEDICARE: MRS. DIANA SUAREZ PT

MEDICARE: MRS. DIANA SUAREZ PT
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
1225200000XPhysical Therapy AssistantFL
2261Q00000XClinic/CenterPTAFL
3106S00000XBehavior TechnicianRBT-1864647FL

Other Identifiers

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

General Provider Information

NPI Number : 1952806341
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANA SUAREZ PT
Provider Business Mailing Address
First Line : 12460 SW 184TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33177-3156
Country : US
Telephone Number : 786-780-7509
Fax Number :
Provider Business Practice Location Address
First Line : 13055 SW 42ND ST STE 104
Second Line :
City : MIAMI
State : FL
Zip : 33175-3470
Country : US
Telephone Number : 786-360-6125
Fax Number : 786-431-5231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 03/28/2022

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