Healthcare Provider Details

I. General information

NPI: 1568877603
Provider Name (Legal Business Name): EMILIANO RODRIGUEZ SUAREZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15529 BULL RUN RD
MIAMI LAKES FL
33014-7004
US

IV. Provider business mailing address

10550 NW 77TH CT STE 308
HIALEAH GARDENS FL
33016-2072
US

V. Phone/Fax

Practice location:
  • Phone: 305-328-8922
  • Fax: 786-607-3715
Mailing address:
  • Phone: 786-985-5716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9245947
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: