MEDICARE: NEYMA PEREZ-SUAREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP9299500	FL
2	363LF0000X	Family Nurse Practitioner	ARNP9299500	FL

General Provider Information

NPI Number	:	1174035174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEYMA PEREZ-SUAREZ

Provider Business Mailing Address
First Line	:	1060 W 79TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13855 SW 160TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-1937
Country	:	US
Telephone Number	:	786-479-5058
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	08/31/2023

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Directions to “ NEYMA PEREZ-SUAREZ ” Practice Location

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