Active NPI
Jose David Suarez MD PA
- Family Medicine Physician
- South Miami, FL
National Provider Identifier
1053756627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME69364
- Legal business name
- JOSE DAVID SUAREZ MD PA
- Practice address
- 6161 Sunset Dr
Suite B
South Miami, FL 33143-5045 - Phone
- (305) 663-1113
- Fax
- (305) 663-1119
- NPI assigned
- May 8, 2013
- Last updated
- Aug 6, 2013
- 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. Jose David Suarez, MD
- Title
- Owner
- Phone
- (305) 663-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME69364 | FL | Primary |
Addresses
Primary practice location
6161 Sunset Dr
Suite B
South Miami, FL 33143-5045
Mailing address
6161 Sunset Dr
Suite B
South Miami, FL 33143-5045
Phone (305) 663-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379544600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6161 Sunset Dr
Ste B
South Miami, FL 33143
Phone (305) 663-1113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1053756627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 SUNSET DR",
"address_2": "SUITE B",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435045",
"telephone_number": "305-663-1113",
"fax_number": "305-663-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 SUNSET DR",
"address_2": "SUITE B",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435045",
"telephone_number": "305-663-1113",
"fax_number": "305-663-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE DAVID SUAREZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-663-1113",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME69364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379544600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.