Individual provider Active NPI

Midiala Suarez Chapado, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1871205435
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023194 Issued in FL
Practice address
7189 Pembroke Rd
Pembroke Pines, FL 33023-2679
Phone
(954) 983-1220
NPI assigned
Dec 14, 2022
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 11023194 FL Primary

Addresses

Primary practice location

7189 Pembroke Rd
Pembroke Pines, FL 33023-2679

Mailing address

7189 Pembroke Rd
Pembroke Pines, FL 33023-2679
Phone (954) 983-1220

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
I20230831002239 FL Practitioner - Nurse Practitioner 2961876024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primenet Medical Group IncGroup PAC ID 5890699300, 6 clinicians

Practice addresses (Care Compare)

7189 Pembroke Rd
Pembroke Pines, FL 33023-2679
Phone (954) 983-1220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023194FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primenet Medical Group Inc CurrentSince Jul 19, 2023 Accepting new patients
Rd Medical Professional Services PC CurrentSince Sep 23, 2023 Accepting new patients
Primenet Medical Management PastSince Jul 19, 2023 Accepting new patients

Locations

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

1100 S State Road 7
Ste 104
Margate, FL 33068
Phone (954) 984-8000

9000 SW 137th Ave
Ste 115
Miami, FL 33186
Phone (305) 380-6773

7189 Pembroke Rd
Pembroke Pines, FL 33023
Phone (954) 753-2550

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

1000 24th St N
St Petersburg, FL 33713
Phone (727) 323-4711

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Organizations & group practices 3

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1871205435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7189 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330232679",
            "telephone_number": "954-983-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7189 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330232679",
            "telephone_number": "954-983-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ CHAPADO",
        "first_name": "MIDIALA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.