Provider Demographics
NPI:1275963522
Name:SUAREZ, LESLIE (ARNP)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:GAITAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:11542 SW 126TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-4444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8765 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7811
Practice Address - Country:US
Practice Address - Phone:305-740-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-23
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD-CNPCP003571207Q00000X
FLARNP9277266363LF0000X
VT101.0135696207Q00000X
KY3018346207Q00000X
DCNP500005015207Q00000X
NHAPRN090088-23207Q00000X
WV122224207Q00000X
MECNP221460207Q00000X
KS53-81499-121207Q00000X
RIAPRN03482207Q00000X
OHCNP0032940207Q00000X
MDAC004720207Q00000X
MARN2371723207Q00000X
DELG-0012159207Q00000X
VA0024191318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine