Individual provider Active NPI

Suzie Jean-Louis, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1255729018
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18969 Issued in PR
Practice address
L5 Calle 1
Urb Rexmanor
Guayama, PR 00784-6018
Phone
(305) 761-6129
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18969 PR Primary

Addresses

Primary practice location

L5 Calle 1
Urb Rexmanor
Guayama, PR 00784-6018

Mailing address

L5 Calle 1
Urb Rexmanor
Guayama, PR 00784-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150427002050 PR Practitioner - General Practice 9830418755 Reassigns benefits to 1 organization
I20210615003253 FL Practitioner - General Practice 9830418755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families CurrentSince Mar 12, 2021 Accepting new patients
Southern Health Care Group, Inc. General Practice CurrentSince Jun 1, 2015 Accepting new patients
Florida Department of Children and Families Current Accepting new patients

Locations

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1255729018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L5 CALLE 1",
            "address_2": "URB REXMANOR",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L5 CALLE 1",
            "address_2": "URB REXMANOR",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846018",
            "telephone_number": "305-761-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-LOUIS",
        "first_name": "SUZIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.