Individual provider Active NPI

Laura Suarez

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639998008
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11035594 Issued in FL
Practice address
1064 SW 142ND PL
Miami, FL 33184-3075
Phone
(786) 715-2357
NPI assigned
Oct 3, 2024
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11035594 FL Primary

Addresses

Primary practice location

1064 SW 142ND PL
Miami, FL 33184-3075

Mailing address

1064 SW 142ND PL
Miami, FL 33184-3075

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000573 FL Practitioner - Nurse Practitioner 9739612268 Reassigns benefits to 4 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PHP Mental Health Center IncGroup PAC ID 9830535939, 8 clinicians
Progressive Medical Center IncGroup PAC ID 8820497423, 7 clinicians

Practice addresses (Care Compare)

10665 SW 190TH St
Suite 3213
Cutler Bay, FL 33157-7706
Phone (786) 760-6451

12595 SW 137TH Ave
Suite 110
Miami, FL 33186-4218
Phone (305) 465-9379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Medical Center Inc CurrentSince Mar 20, 2025 Accepting new patients
Serene Solutions Health Group Corp CurrentSince Jan 1, 2026 Accepting new patients
PHP Mental Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Violet Health Corp CurrentSince Mar 17, 2025 Accepting new patients

Locations

10665 SW 190th St
Ste 3213
Cutler Bay, FL 33157
Phone (786) 380-2077

10520 NW 26th St
Ste C101
Doral, FL 33172
Phone (786) 353-9308

12595 SW 137th Ave
Ste 110
Miami, FL 33186
Phone (305) 465-9379

4180 SW 74th Ct
Ste 204
Miami, FL 33155
Phone (786) 401-7327

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1639998008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843075",
            "telephone_number": "786-715-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11035594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.