Healthcare Provider Details

I. General information

NPI: 1659101020
Provider Name (Legal Business Name): OSMEL SUAREZ FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. OSMEL ALBERTO SUAREZ MEDINA

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 N MIAMI BEACH BLVD
NORTH MIAMI BEACH FL
33162-3715
US

IV. Provider business mailing address

6216 NW 179TH TER
HIALEAH FL
33015-4447
US

V. Phone/Fax

Practice location:
  • Phone: 786-785-5900
  • Fax:
Mailing address:
  • Phone: 786-720-1151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11034462
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: