Healthcare Provider Details

I. General information

NPI: 1023846334
Provider Name (Legal Business Name): DIARYS SUAREZ RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6992 NW 166TH TER
MIAMI LAKES FL
33014-6067
US

IV. Provider business mailing address

6992 NW 166TH TER
MIAMI LAKES FL
33014-6067
US

V. Phone/Fax

Practice location:
  • Phone: 786-948-6192
  • Fax:
Mailing address:
  • Phone: 786-948-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: