Provider Demographics
NPI:1013775279
Name:SUAREZ, CHEILA (ELECTROLOGIST)
Entity Type:Individual
Prefix:
First Name:CHEILA
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:ELECTROLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 SW 137TH AVE UNIT FLORIDA
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6478
Mailing Address - Country:US
Mailing Address - Phone:786-534-8877
Mailing Address - Fax:
Practice Address - Street 1:3955 SW 137TH AVE UNIT FLORIDA
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6478
Practice Address - Country:US
Practice Address - Phone:786-534-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLEO4618374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician