Provider Demographics
NPI:1003685090
Name:SUAREZ CASTRO, FELIPE (DPT)
Entity Type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:SUAREZ CASTRO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2185 NE 169TH ST APT 33
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-6212
Mailing Address - Country:US
Mailing Address - Phone:786-985-6166
Mailing Address - Fax:
Practice Address - Street 1:13645 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1617
Practice Address - Country:US
Practice Address - Phone:305-949-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41122225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist