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NPI Code Detail

MEDICARE: DR. OMAR D SUAREZ MD

MEDICARE: DR. OMAR D SUAREZ MD
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
1208D00000XGeneral Practice PhysicianME84847FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962450999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OMAR D SUAREZ MD
Provider Business Mailing Address
First Line : 2050 NE 163RD ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4903
Country : US
Telephone Number : 305-947-7133
Fax Number : 305-947-7188
Provider Business Practice Location Address
First Line : 4125 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5874
Country : US
Telephone Number : 305-424-3120
Fax Number : 305-424-3182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/11/2019

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Directions to “ DR. OMAR D SUAREZ MD” Practice Location

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