=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679944011
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ADOLFO MANUEL SUAREZ PHARM. D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2015
-----------------------------------------------------
Last Update Date | 06/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3001 SW 27TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33133-4663
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-301-6803
-----------------------------------------------------
Fax | 623-666-6523
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6451 SW 42ND TER
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33155-5122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-301-6803
-----------------------------------------------------
Fax | 623-666-6523
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PS54256
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------