Provider Demographics
NPI:1376178830
Name:SUAREZ LANDIN, SARAHI
Entity Type:Individual
Prefix:
First Name:SARAHI
Middle Name:
Last Name:SUAREZ LANDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10684 NW 87TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4606
Mailing Address - Country:US
Mailing Address - Phone:786-318-4057
Mailing Address - Fax:
Practice Address - Street 1:707 NW DOUGLAS CIR
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-8631
Practice Address - Country:US
Practice Address - Phone:786-318-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician