Organization Active NPI

Juan P. Suarez, M.D., P.a.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1306087549
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0053735 Issued in FL
Legal business name
JUAN P. SUAREZ, M.D., P.A.
Practice address
1900 N Mills Ave
Suite 103
Orlando, FL 32803
Phone
(407) 843-0151
Fax
(407) 843-9230
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Juan P Suarez, MDNPI 1992794556
Title
President
Phone
(407) 843-0151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0053735 FL Primary

Addresses

Primary practice location

1900 N Mills Ave
Suite 103
Orlando, FL 32803

Mailing address

1900 N Mills Ave
Suite 103
Orlando, FL 32803-2939
Phone (407) 843-0151

Other identifiers 1

IdentifierTypeStateIssuer
044557600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000184 FL Part B Supplier - Clinic/Group Practice 4284788357 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0711628Juan P Suarez1900 N Mills Ave Ste 103, Orlando, FL 32803Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

25 W Kaley St
#200A
Orlando, FL 32806
Phone (407) 843-0151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1306087549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N MILLS AVE",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032939",
            "telephone_number": "407-843-0151",
            "fax_number": "407-843-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MILLS AVE",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-843-0151",
            "fax_number": "407-843-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN P. SUAREZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-843-0151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0053735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044557600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.