Active NPI
Partners of Internal Medicine PA
- Internal Medicine Physician
- North Miami, FL
National Provider Identifier
1013906254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260381100 | Medicaid | FL | |
| 18399 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- North Miami, FL
- NPI 1669461042
-
- Physician Assistant
- North Miami Beach, FL
- NPI 1598275208
-
- Physician Assistant
- North Miami Beach, FL
- NPI 1346239829
-
- Medical Physician Assistant
- North Miami, FL
- NPI 1174871735
-
- Physician Assistant
- Miami Beach, FL
- NPI 1336487941
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1164621900
-
- Internal Medicine Physician
- Miami, FL
- NPI 1427101534
-
- Podiatrist
- Enterprise, AL
- NPI 1396032280
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.