Basic Information
Provider Information
NPI: 1417498460
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMAGUER
FirstName: SUSANA
MiddleName: S.
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12493
Address2:  
City: MIAMI
State: FL
PostalCode: 331012493
CountryCode: US
TelephoneNumber: 3055854249
FaxNumber: 3053552242
Practice Location
Address1: 1611 NW 12TH AVE
Address2: EAST TOWER 4-B
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3055855116
FaxNumber: 3055855962
Other Information
ProviderEnumerationDate: 03/09/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X9368723FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home