Individual provider Active NPI

Odalys Suarez Ojeda, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1427775113
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022449 Issued in FL
Practice address
7475 S Waterway Dr
Miami, FL 33155-2707
Phone
(305) 316-6431
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 APRN11022449 FL Primary

Addresses

Primary practice location

7475 S Waterway Dr
Miami, FL 33155-2707

Mailing address

11801 NW 2ND St
Miami, FL 33182-1344
Phone (305) 220-2330

Other identifiers 1

IdentifierTypeStateIssuer
APRN11022449MedicaidFL

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
APRN11022449FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Cerebral Palsy Residential Facility, Inc. PastSince Oct 30, 2022 Accepting new patients
Podiatry Care Partners Inc PastSince Oct 30, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1427775113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821344",
            "telephone_number": "305-220-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 S WATERWAY DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552707",
            "telephone_number": "305-316-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ OJEDA",
        "first_name": "ODALYS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN11022449",
            "state": "FL"
        }
    ],
    "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 Oct 24, 2022; 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.