Active NPI
Renier Suarez, D.M.D.
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1104005669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17625
- Practice address
- 10000 SW 56TH St
23
Miami, FL 33165-7165 - Phone
- (305) 412-7728
- Fax
- (305) 412-7730
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17625 | FL | Primary |
Addresses
Primary practice location
10000 SW 56TH St
23
Miami, FL 33165-7165
Mailing address
16693 SW 54TH St
Miami, FL 33185-4156
Phone (305) 412-7728
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 |
|---|---|---|---|
| 17625 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1104005669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16693 SW 54TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854156",
"telephone_number": "305-412-7728",
"fax_number": "305-412-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SW 56TH ST",
"address_2": "23",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657165",
"telephone_number": "305-412-7728",
"fax_number": "305-412-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "RENIER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "17625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.