Active NPI
Gardens Id Group LLC
- Infectious Disease Physician
- Palm Beach Gardens, FL
National Provider Identifier
1013964683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME31932
- Legal business name
- GARDENS ID GROUP LLC
- Practice address
- 11211 Prosperity Farms Rd
Suite B-105
Palm Beach Gardens, FL 33410-3446 - Phone
- (561) 626-2914
- NPI assigned
- May 28, 2006
- 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. Andres Suarez, M.D.
- Title
- Owner/ President
- Phone
- (561) 626-2914
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME31932 | FL | Primary |
Addresses
Primary practice location
11211 Prosperity Farms Rd
Suite B-105
Palm Beach Gardens, FL 33410-3446
Mailing address
11211 Prosperity Farms Rd
Suite B-105
Palm Beach Gardens, FL 33410-3446
Phone (561) 626-2914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72439 | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11211 Prosperity Farms Rd
Ste B105
Palm Beach Gardens, FL 33410
Phone (561) 626-2914
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Palm Beach Gardens, FL
- NPI 1053358200
-
- Infectious Disease Physician
- Palm Beach Gardens, FL
- NPI 1891797551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1013964683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD",
"address_2": "SUITE B-105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103446",
"telephone_number": "561-626-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 PROSPERITY FARMS RD",
"address_2": "SUITE B-105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103446",
"telephone_number": "561-626-2914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDENS ID GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "ANDRES",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "561-626-2914",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME31932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "72439",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.