Jose H Perez Suarez, M.D.
Individual provider Active NPI Family Medicine Physician · Umatilla, FL
NPI 1154397461 · NPPES record last updated Jan 17, 2013
Key facts
- NPI
- 1154397461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME56328 (FL)
- Practice address
- 249 E Collins St
Umatilla, FL 32784-8383 - Phone
- (352) 483-7984
- Fax
- (352) 589-6496
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME005628 | FL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME005628 | FL | |
| Family Medicine Physician | 207Q00000X | ME56328 | FL | Yes |
Addresses
Primary practice location
249 E Collins St
Umatilla, FL 32784-8383
Mailing address
16140 US Highway 441
Eustis, FL 32726-6508
Phone (352) 483-7984
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061377100 | Medicaid | FL |
Other providers in Umatilla, FL
- Daisy Clanton Millett
- Richard Jose Molina
- Cheryl Lee Myers
- Galina Leigh Nelson
- Shajuan Brown Peoples
- Elmer Perez
- Dana Roxanne Peterson
- Rebekah Marie Phillips
- Jody Marie Piper
- Laura Denise Powell
All providers in Umatilla, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.