MEDICARE: DR. LEONIDES SUAREZ M.D.

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	207R00000X	Internal Medicine Physician	ME0063618	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669409405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONIDES SUAREZ M.D.

Provider Business Mailing Address
First Line	:	2207 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-7600
Country	:	US
Telephone Number	:	561-965-8345
Fax Number	:	561-965-8434

Provider Business Practice Location Address
First Line	:	2207 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-7600
Country	:	US
Telephone Number	:	561-965-8345
Fax Number	:	561-965-8434

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	11/01/2011

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