Healthcare Provider Details

I. General information

NPI: 1811650625
Provider Name (Legal Business Name): JANY SUAREZ PINEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13491 SW 256TH ST
HOMESTEAD FL
33032-6803
US

IV. Provider business mailing address

13491 SW 256TH ST
HOMESTEAD FL
33032-6803
US

V. Phone/Fax

Practice location:
  • Phone: 786-413-0095
  • Fax:
Mailing address:
  • Phone: 786-413-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05250250
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: