Provider Demographics
NPI:1609121060
Name:RICHARD LOUIS SUAREZ, CNM PA
Entity Type:Organization
Organization Name:RICHARD LOUIS SUAREZ, CNM PA
Other - Org Name:MIDWIFERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE, NURSE PRAC
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, NP
Authorized Official - Phone:305-598-2994
Mailing Address - Street 1:8600 SW 92ND ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7377
Mailing Address - Country:US
Mailing Address - Phone:305-598-2994
Mailing Address - Fax:305-598-9594
Practice Address - Street 1:8600 SW 92ND ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7377
Practice Address - Country:US
Practice Address - Phone:305-598-2994
Practice Address - Fax:305-598-9594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2527292367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS69028Medicare UPIN