Individual provider Active NPI

Felicita Santiago-Suarez, ARNP

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1366952640
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9185442 Issued in FL
Practice address
8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703
Phone
(954) 327-3354
Fax
(954) 327-3354
NPI assigned
Oct 2, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9185442 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703

Mailing address

7602 NW 99TH Ter
Tamarac, FL 33321-1925
Phone (954) 249-2941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171121002963 FL Practitioner - Nurse Practitioner 0042577355 Reassigns benefits to 3 organizations
I20210723002833 GA Practitioner - Nurse Practitioner 0042577355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9185442FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manor Care Services of Florida III, LLC CurrentSince Oct 11, 2023 Accepting new patients
HCR Manor Care Services of Florida III, LLC CurrentSince Oct 11, 2023 Accepting new patients
Transitions Healthcare LLC CurrentSince Feb 7, 2024 Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

134 S Dixie Hwy
Hallandale Beach, FL 33009
Phone (754) 260-3426

150 S Pine Island Rd
Ste 540
Plantation, FL 33324
Phone (954) 467-7423

L4056
Columbus, OH 43260

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1366952640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 NW 99TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211925",
            "telephone_number": "954-249-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-327-3354",
            "fax_number": "954-327-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-SUAREZ",
        "first_name": "FELICITA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9185442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.