MEDICARE: ALEX EMILIO SUAREZ ALMEIDA

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	225700000X	Massage Therapist	82658	FL

General Provider Information

NPI Number	:	1659956290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX EMILIO SUAREZ ALMEIDA

Provider Business Mailing Address
First Line	:	216 SANTANDER AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6720
Country	:	US
Telephone Number	:	786-370-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 SANTANDER AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6720
Country	:	US
Telephone Number	:	786-370-0014
Fax Number	:

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

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/16/2021

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