Individual provider Active NPI

Gabriel Miguel Rodriguez Suarez, AGNP

  • Gerontology Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366723439
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11013151 Issued in FL
Practice address
6667 Miller Dr Apt 603
Miami, FL 33155-6446
Phone
(786) 312-5480
NPI assigned
Sep 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 10266 FL
Adult Health Nurse Practitioner 363LA2200X AG03210115 FL
Gerontology Nurse Practitioner 363LG0600X APRN11013151 FL Primary

Addresses

Primary practice location

6667 Miller Dr Apt 603
Miami, FL 33155-6446

Mailing address

6667 Miller Dr Apt 603
Miami, FL 33155-6446
Phone (786) 312-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10266FLMDSurgical Technologist
AG03210115FLMDAdult Health Nurse Practitioner
APRN11013151FLMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1366723439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 MILLER DR APT 603",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556446",
            "telephone_number": "786-312-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 MILLER DR APT 603",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556446",
            "telephone_number": "786-312-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SUAREZ",
        "first_name": "GABRIEL",
        "middle_name": "MIGUEL",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": "10266",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "AG03210115",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11013151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.