MEDICARE: MANUEL SUAREZ MD PA

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	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1659395325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANUEL SUAREZ MD PA

Provider Business Mailing Address
First Line	:	7100 HOLLYWOOD BLVD
Second Line	:	SUITE 23
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-7355
Country	:	US
Telephone Number	:	954-967-0107
Fax Number	:	954-967-0109

Provider Business Practice Location Address
First Line	:	1435 W 49TH PL
Second Line	:	SUITE 207
City	:	HIALEAH
State	:	FL
Zip	:	33012-3197
Country	:	US
Telephone Number	:	305-556-8556
Fax Number	:	305-556-6112

Authorized Official
Title or Position	:	OWNER
Name	:	MANUEL SUAREZ
Credential	:	M.D.
Telephone Number	:	305-556-8556

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

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Directions to “MANUEL SUAREZ MD PA ” Practice Location

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