Individual provider Active NPI

Yuliet Suarez Prado, APRN

  • Primary Care Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1881290609
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11010504 Issued in FL
Practice address
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Phone
(786) 609-9200
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11010504 FL Primary

Addresses

Primary practice location

14001 NW 82ND Ave
Miami Lakes, FL 33016-1561

Mailing address

2485 W 71St PL
Hialeah, FL 33016-5445
Phone (305) 970-7495

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
I20240606000860 FL Practitioner - Nurse Practitioner 0143762195 Reassigns benefits to 1 organization

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
Endo Consulting LLCGroup PAC ID 8224499801, 4 clinicians

Practice addresses (Care Compare)

14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Phone (786) 609-9200

Hospital & facility affiliations

  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010504FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Consulting LLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

8785 NW 32nd Ave
Miami, FL 33147
Phone (305) 691-5711

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 437-3397

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1881290609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 W 71ST PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165445",
            "telephone_number": "305-970-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 NW 82ND AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161561",
            "telephone_number": "786-609-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ PRADO",
        "first_name": "YULIET",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11010504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.