Healthcare Provider Details

I. General information

NPI: 1609121060
Provider Name (Legal Business Name): RICHARD LOUIS SUAREZ, CNM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 05/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 SW 92ND ST STE 105
MIAMI FL
33156-7377
US

IV. Provider business mailing address

8600 SW 92ND ST STE 105
MIAMI FL
33156-7377
US

V. Phone/Fax

Practice location:
  • Phone: 305-598-2994
  • Fax: 305-598-9594
Mailing address:
  • Phone: 305-598-2994
  • Fax: 305-598-9594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP2527292
License Number StateFL

VIII. Authorized Official

Name: RICHARD LOUIS SUAREZ
Title or Position: CERTIFIED NURSE MIDWIFE, NURSE PRAC
Credential: CNM, NP
Phone: 305-598-2994