Individual provider Active NPI

Diana L Suarez, M.D.

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1275580789
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME61889 Issued in FL
Practice address
2122 NW 62ND St Ste 110
Ft Lauderdale, FL 33309-1866
Phone
(954) 353-3180
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME61889 FL Primary

Addresses

Primary practice location

2122 NW 62ND St Ste 110
Ft Lauderdale, FL 33309-1866

Mailing address

4780 SW 64TH Ave
Davie, FL 33314-4400
Phone (954) 434-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060608000216 FL Practitioner - Internal Medicine 2961414024 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Rirofi Corp CurrentSince Aug 3, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Oct 20, 2014 Accepting new patients
MD Now Medical Centers Inc CurrentSince Oct 20, 2014 Accepting new patients
Associatesmd Medical Group Inc Current Accepting new patients
Conviva Medical Center Management LLC Internal Medicine Past Accepting new patients
Stat Medical Clinic IV Inc Past Accepting new patients

Locations

4780 SW 64th Ave
Ste 103
Davie, FL 33314

4780 SW 64th Ave
Davie, FL 33314

2122 W Cypress Creek Rd
Ste 110
Ft Lauderdale, FL 33309
Phone (954) 353-3180

5216 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 958-5858

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

1107 E Jackson St
Ste 208
Tampa, FL 33602
Phone (305) 410-2530

Interoperability endpoints

  • Direct secure messaging: diana.suarez.1@14931.direct.athenahealth.com
  • Direct secure messaging: diana.suarez.1@16705.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1275580789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-434-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 NW 62ND ST STE 110",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091866",
            "telephone_number": "954-353-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME61889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.