Active NPI
Juan Suarez, CCC-SLP
- Speech-Language Pathologist
- Pensacola, FL
National Provider Identifier
1043519614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA-9434
- Practice address
- 5120 Bayou Blvd
Suite 6
Pensacola, FL 32503-2193 - Phone
- (413) 246-1445
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA-9434 | FL | Primary |
Addresses
Primary practice location
5120 Bayou Blvd
Suite 6
Pensacola, FL 32503-2193
Mailing address
5120 Bayou Blvd
Suite 6
Pensacola, FL 32503-2193
Phone (413) 246-1445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA-9434 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suarez Rehabilitation Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Pensacola, FL
- NPI 1821543828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1043519614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 BAYOU BLVD",
"address_2": "SUITE 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032193",
"telephone_number": "413-246-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 BAYOU BLVD",
"address_2": "SUITE 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032193",
"telephone_number": "413-246-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "JUAN",
"name_prefix": "Mr.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA-9434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.