MEDICARE: RODOLFO SUAREZ SANFIEL

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	363L00000X	Nurse Practitioner	11036797	FL

General Provider Information

NPI Number	:	1548077274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODOLFO SUAREZ SANFIEL

Provider Business Mailing Address
First Line	:	1699 SW 7TH ST APT 104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-5518
Country	:	US
Telephone Number	:	786-273-6607
Fax Number	:

Provider Business Practice Location Address
First Line	:	1699 SW 7TH ST APT 104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-5518
Country	:	US
Telephone Number	:	786-273-6607
Fax Number	:

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

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

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Directions to “ RODOLFO SUAREZ SANFIEL ” Practice Location

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