Provider Demographics
NPI:1922611623
Name:SUAREZ, MADAY (APRN)
Entity Type:Individual
Prefix:
First Name:MADAY
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 GOLDEN ISLES DR APT 408
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7552
Mailing Address - Country:US
Mailing Address - Phone:786-273-0358
Mailing Address - Fax:
Practice Address - Street 1:430 GOLDEN ISLES DR APT 408
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-7552
Practice Address - Country:US
Practice Address - Phone:786-273-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006530363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner