Healthcare Provider Details

I. General information

NPI: 1982305876
Provider Name (Legal Business Name): MS. YISEL ALEMAN SUAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 NW 29TH ST
MIAMI FL
33142-6623
US

IV. Provider business mailing address

8350 NW 157TH TER
MIAMI LAKES FL
33016-6601
US

V. Phone/Fax

Practice location:
  • Phone: 305-599-3021
  • Fax: 305-599-3033
Mailing address:
  • Phone: 305-766-6160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-303198
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI6185
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: