Marta Beatriz Suarez Licor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03240329 Issued in FL

Practice address

1630 Gadsen Blvd
Orlando, FL 32812-8504

Phone

(321) 315-8097

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marta.suarez.licor.1@23722.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DFGHDD/Endpoint/DFGHDD

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.

• Vitalia Medical Centers LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1912706102
  Medicare reassignment NPD

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1295586105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 GADSEN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128504",
            "telephone_number": "321-315-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GADSEN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128504",
            "telephone_number": "321-315-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ LICOR",
        "first_name": "MARTA",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F03240329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenan Sualp, MSW
• Grisis Lucia Suarez Betancourt
• Naivys Suarez Cabrera
• Yuliany Aidil Suarez Dominguez
• Alison E Suarez Haquet
• Maria Isabel Suarez Marquez
• Ronaldo Suarez Moreno Aurioles
• Nicolle Suarez Reyes
• Gerlin Suarez Rodriguez, RBT
• Belinda Suarez Rosado

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.