Provider Demographics
NPI:1841954427
Name:MACHUCA SUAREZ, DIANA FERNANDA (APRN)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:FERNANDA
Last Name:MACHUCA SUAREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7368 WOODMONT AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2532
Mailing Address - Country:US
Mailing Address - Phone:954-394-9160
Mailing Address - Fax:
Practice Address - Street 1:7368 WOODMONT AVE APT 205
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2532
Practice Address - Country:US
Practice Address - Phone:954-394-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016151363LP2300X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care