Individual provider Active NPI

Martha Suarez del Villar, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710552401
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013176 Issued in FL
Practice address
4152 SW 149TH PL
Miami, FL 33185-4168
Phone
(786) 715-9115
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 APRN11013176 FL Primary

Addresses

Primary practice location

4152 SW 149TH PL
Miami, FL 33185-4168

Mailing address

4152 SW 149TH PL
Miami, FL 33185-4168
Phone (786) 715-9115

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
I20211026001252 FL Practitioner - Nurse Practitioner 7315335288 Reassigns benefits to 1 organization
Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11013176FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Centers Kendall, LLC CurrentSince Jul 9, 2022 Accepting new patients
Global Medical Trials LLC CurrentSince Sep 16, 2021 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Jul 9, 2022 Accepting new patients
Roberto Guerra MD PA Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

13550 SW 88th St
Ste 280
Miami, FL 33186
Phone (305) 753-7350

9894 SW 40th St
Miami, FL 33165
Phone (305) 564-9471

1190 NW 95th St
Ste 105
Miami, FL 33150
Phone (305) 615-2637

9526 NE 2nd Ave
Ste 101
Miami Shores, FL 33138
Phone (305) 694-3775

1400 NE Miami Gardens Dr
Ste 105
North Miami Beach, FL 33179
Phone (305) 974-5933

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1710552401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 SW 149TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854168",
            "telephone_number": "786-715-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 SW 149TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854168",
            "telephone_number": "786-715-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ DEL VILLAR",
        "first_name": "MARTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.