MEDICARE: RICARDO ALFREDO SUAREZ PEREZ APRN/FNP

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	163W00000X	Registered Nurse	9607981	FL
2	363L00000X	Nurse Practitioner	11031634	FL
3	363LF0000X	Family Nurse Practitioner	F02240508	FL

General Provider Information

NPI Number	:	1689482523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO ALFREDO SUAREZ PEREZ APRN/FNP

Provider Business Mailing Address
First Line	:	870 NW 87TH AVE APT 206
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-3423
Country	:	US
Telephone Number	:	786-675-2363
Fax Number	:

Provider Business Practice Location Address
First Line	:	3824 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4127
Country	:	US
Telephone Number	:	305-643-0550
Fax Number	:

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

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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Directions to “ RICARDO ALFREDO SUAREZ PEREZ APRN/FNP” Practice Location

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