Healthcare Provider Details

I. General information

NPI: 1336951136
Provider Name (Legal Business Name): ANA AMERICA SUAREZ JIMENEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 OAK LN STE 400
MIAMI LAKES FL
33016-6001
US

IV. Provider business mailing address

11770 VILLAGE WAY UNIT 2003
PEMBROKE PINES FL
33025-4402
US

V. Phone/Fax

Practice location:
  • Phone: 786-622-5743
  • Fax: 954-368-8738
Mailing address:
  • Phone: 786-867-4174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: