Individual provider Active NPI

Maria Alejandra Suescum-Diaz, M.D

  • Obstetrics & Gynecology Physician
  • Plantation, FL
National Provider Identifier
1376771386
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME116725 Issued in FL
Practice address
260 SW 84TH Ave
Suite D
Plantation, FL 33324-2715
Phone
(954) 370-7036
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME116725 FL Primary

Addresses

Primary practice location

260 SW 84TH Ave
Suite D
Plantation, FL 33324-2715

Mailing address

260 SW 84TH Ave
Suite D
Plantation, FL 33324-2715
Phone (954) 370-7036

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000667 FL Practitioner - Obstetrics/Gynecology 0345483806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

180 SW 84TH Ave C
Jaime Mercado MD LLC
Coral Spring, FL 33324-2715
Phone (954) 370-7036

260 SW 84TH Ave D
Jaime a Mercado MD LLC
Plantation, FL 33324-2715
Phone (954) 370-7036

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jul 17, 2013 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 403
Boca Raton, FL 33428
Phone (561) 479-2600

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

260 SW 84th Ave
Ste D
Plantation, FL 33324
Phone (954) 370-7036

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1376771386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SW 84TH AVE",
            "address_2": "SUITE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242715",
            "telephone_number": "954-370-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW 84TH AVE",
            "address_2": "SUITE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242715",
            "telephone_number": "954-370-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUESCUM-DIAZ",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME116725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.