Individual provider Active NPI

Georgina Maria Suarez Mendoza

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1801483821
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010403 Issued in FL
Practice address
6845 W 3Rd CT Apt 301F
Hialeah, FL 33014-5331
Phone
(786) 531-7160
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 11010403 FL
Family Nurse Practitioner 363LF0000X 11010403 FL Primary

Addresses

Primary practice location

6845 W 3Rd CT Apt 301F
Hialeah, FL 33014-5331

Mailing address

6845 W 3Rd CT Apt 301F
Hialeah, FL 33014-5331
Phone (786) 531-7160

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
I20211228000491 FL Practitioner - Nurse Practitioner 2365833431 Reassigns benefits to 1 organization
Practice locations: Hialeah, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mil Sonrisas Medical Center IncGroup PAC ID 4082154539, 2 clinicians

Practice addresses (Care Compare)

849 SW 1St St
Miami, FL 33130-1207
Phone (786) 312-0513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010403FLMDFamily Nurse Practitioner

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, 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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1801483821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 W 3RD CT APT 301F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145331",
            "telephone_number": "786-531-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 W 3RD CT APT 301F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145331",
            "telephone_number": "786-531-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ MENDOZA",
        "first_name": "GEORGINA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "11010403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.