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Manuel Medina Suarez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9275 SW 152nd St Ste 212, Palmetto Bay, FL 33157-1774

PECOS Enrollment

Based on the most recent information from CMS, provider Manuel Medina Suarez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417532821
Provider Type
Individual
Full Name
Medina Suarez, Manuel
Credential
ARPN

Gender
Male
Sole Proprietor
No
Enumeration Date
3/17/2021
Last Updated
10/14/2022

Contact Information

Practice Location

9275 SW 152nd St Ste 212, Palmetto Bay, FL 33157-1774

(305) 255-5995

(305) 255-3018

Mailing Location

15280 NW 79th Ct Ste 200, Miami Lakes, FL 33016-5873

(305) 558-3724

(786) 907-4485

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11012137 Florida

Manuel Medina Suarez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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