Provider Demographics
NPI:1295764645
Name:SUAREZ, JUAN B (MD , FACS)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:B
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:MD , FACS
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Mailing Address - Street 1:2601 SW 37TH AVE STE 804
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2751
Mailing Address - Country:US
Mailing Address - Phone:305-443-1040
Mailing Address - Fax:305-444-2054
Practice Address - Street 1:2601 SW 37TH AVE STE 804
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2751
Practice Address - Country:US
Practice Address - Phone:305-443-1040
Practice Address - Fax:305-444-2054
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-07-18
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Provider Licenses
StateLicense IDTaxonomies
FLME0017486208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039854300Medicaid
D63517Medicare UPIN