Provider Demographics
NPI:1578348108
Name:SUAREZ FALCON, MARIFELIX
Entity Type:Individual
Prefix:
First Name:MARIFELIX
Middle Name:
Last Name:SUAREZ FALCON
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 1:2273 NE 42ND CIR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6604
Mailing Address - Country:US
Mailing Address - Phone:305-824-7322
Mailing Address - Fax:
Practice Address - Street 1:2273 NE 42ND CIR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6604
Practice Address - Country:US
Practice Address - Phone:305-824-7322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician