Organization Active NPI

Gardens Id Group LLC

  • Infectious Disease Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1013964683
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME31932 Issued in FL
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

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Andres Suarez, M.D.NPI 1053358200
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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
72439OtherFLBCBS OF FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000046 FL Part B Supplier - Clinic/Group Practice 9335143551 Receives reassigned benefits from 2 practitioners
Practice locations: Jupiter, FL; Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.