Organization Active NPI

Partners of Internal Medicine PA

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1013906254
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARTNERS OF INTERNAL MEDICINE PA
Practice address
12550 Biscayne Blvd #226
North Miami, FL 33181
Phone
(305) 945-2411
Fax
(305) 945-2412
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manuel Antonio Suarez-Baccelo, MD
Title
President Owner
Phone
(305) 945-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12550 Biscayne Blvd #226
North Miami, FL 33181

Mailing address

12550 Biscayne Blvd #226
North Miami, FL 33181
Phone (305) 945-2411

Other identifiers 2

IdentifierTypeStateIssuer
260381100MedicaidFL
18399OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000241 FL Part B Supplier - Clinic/Group Practice 7911956768 Receives reassigned benefits from 5 practitioners
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Locations

12550 Biscayne Blvd
Ste 226
North Miami, FL 33181
Phone (305) 945-2411

3569 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 895-2152

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1013906254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD #226",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-945-2411",
            "fax_number": "305-945-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD #226",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-945-2411",
            "fax_number": "305-945-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS OF INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "SUAREZ-BACCELO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-945-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260381100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.