Active NPI
Odalys Suarez
- Nurse's Aide
- Key Largo, FL
National Provider Identifier
1467757674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 58484
- Practice address
- 21 N. End Rd
Key Largo, FL 33037-0000 - Phone
- (305) 393-9582
- NPI assigned
- Jan 19, 2011
- Last updated
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 58484 | FL | Primary |
Addresses
Primary practice location
21 N. End Rd
Key Largo, FL 33037-0000
Mailing address
55 Bonefish Ave
Key Largo, FL 33037-0000
Phone (305) 393-9582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7502884483 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58484 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1467757674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BONEFISH AVE",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330370000",
"telephone_number": "305-393-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N. END RD",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330370000",
"telephone_number": "305-393-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "ODALYS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "58484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7502884483",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.