Magnelys Penate Suarez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1049 SW Cornelia Ave
Port Saint Lucie, FL 34953-3238

Phone

(772) 204-5197

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1821787342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 SW CORNELIA AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533238",
            "telephone_number": "772-204-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 SW CORNELIA AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533238",
            "telephone_number": "772-204-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENATE SUAREZ",
        "first_name": "MAGNELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Prime Care
• Pediatrix Medical Group of Florida Inc
• Carol Patricia Peirce, MS, RD, LD/N
• Richard J Pena -Ariet, MD
• Kamaria Penado
• Elizabeth Botts Penrod, MS CCC/SLP
• People First Behavior Group LLC
• Lovely Perceval
• Tiara Shandera Perch
• Joshua Perdue, CCC'S-SLP

• Behavior Technician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.