Healthcare Provider Details

I. General information

NPI: 1619831948
Provider Name (Legal Business Name): LIUTMILA SUAREZ GONZALEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 NW 21ST CT
MIAMI FL
33125
US

IV. Provider business mailing address

6104 SW 146TH CT
MIAMI FL
33183-1016
US

V. Phone/Fax

Practice location:
  • Phone: 305-888-6959
  • Fax:
Mailing address:
  • Phone: 305-888-6959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN9624879
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044357
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: