Individual provider Active NPI

Dalila Suazo, RD, LD/N

  • Registered Dietitian
  • Miami, FL
National Provider Identifier
1255508016
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD4609 Issued in FL
Practice address
6600 SW 43Rd St
Miami, FL 33155-5139
Phone
(305) 607-2524
Fax
(305) 740-9502
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD4609 FL Primary

Addresses

Primary practice location

6600 SW 43Rd St
Miami, FL 33155-5139

Mailing address

6600 SW 43Rd St
Miami, FL 33155-5139
Phone (305) 607-2524

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD4609FLMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1255508016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555139",
            "telephone_number": "305-607-2524",
            "fax_number": "305-740-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555139",
            "telephone_number": "305-607-2524",
            "fax_number": "305-740-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAZO",
        "first_name": "DALILA",
        "name_prefix": "Ms.",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "LD4609",
            "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 May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.