Individual provider Active NPI

Suzanne Cyriaque

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1316577604
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005744 Issued in FL
Practice address
6608 Evergreen Dr
Miramar, FL 33023-4920
Phone
(954) 665-7857
NPI assigned
Jan 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005744 FL Primary

Addresses

Primary practice location

6608 Evergreen Dr
Miramar, FL 33023-4920

Mailing address

6608 Evergreen Dr
Miramar, FL 33023-4920
Phone (954) 665-7857

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126000828 FL Practitioner - Nurse Practitioner 2769874684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Act Hospitalist LLC.Group PAC ID 0244649374, 9 clinicians

Practice addresses (Care Compare)

1100 NW 95TH St
North Shores Medical Center
Miami, FL 33150-2038
Phone (305) 835-6000

14001 NW 82ND Ave
Select Specialty Hospital Miami Lakes
Miami Lakes, FL 33016-1561
Phone (786) 609-9200

9380 NW 7TH Ave
Miami Shores Nursing and Rehab
Miami, FL 33150-2038
Phone (305) 835-6000

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Act Hospitalist LLC CurrentSince Nov 1, 2021 Accepting new patients
Excel Medical Associates, Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

13936 NW 7th Ave
Miami, FL 33168
Phone (305) 364-5778

15490 NW 7th Ave
Ste 101
Miami, FL 33169
Phone (305) 364-5778

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 437-3397

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1316577604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 EVERGREEN DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234920",
            "telephone_number": "954-665-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 EVERGREEN DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234920",
            "telephone_number": "954-665-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRIAQUE",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.