MEDICARE: ROGELIO SUAREZ MD

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	390200000X	Student in an Organized Health Care Education/Training Program	TRN 19675	FL
2	2084P0800X	Psychiatry Physician	ME129989	FL

General Provider Information

NPI Number	:	1932514965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROGELIO SUAREZ MD

Provider Business Mailing Address
First Line	:	4306 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2840
Country	:	US
Telephone Number	:	305-535-3349
Fax Number	:	305-535-3438

Provider Business Practice Location Address
First Line	:	4304 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2885
Country	:	US
Telephone Number	:	305-674-2876
Fax Number	:	305-674-2916

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

Provider Enumeration Date	:	06/28/2014
Last Update Date	:	01/12/2022

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Directions to “ ROGELIO SUAREZ MD” Practice Location

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