Provider Demographics
NPI:1821030701
Name:SUAREZ, CARLOS A (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:A
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6705 S RED RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3622
Mailing Address - Country:US
Mailing Address - Phone:305-662-1630
Mailing Address - Fax:305-661-0866
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:PH-B
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-662-1630
Practice Address - Fax:305-661-0866
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2016-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME147892086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD65991Medicare UPIN
FL92526Medicare ID - Type Unspecified