Provider Demographics
NPI:1003685090
Name:SUAREZ CASTRO, FELIPE (DPT)
Entity type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:SUAREZ CASTRO
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18384 W DIXIE HWY STE D
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2076
Mailing Address - Country:US
Mailing Address - Phone:786-989-3399
Mailing Address - Fax:
Practice Address - Street 1:18384 W DIXIE HWY STE D
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2076
Practice Address - Country:US
Practice Address - Phone:786-989-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41122225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist