Provider Demographics
NPI:1528941507
Name:OLIVERA SUAREZ, LILIET (RN)
Entity type:Individual
Prefix:
First Name:LILIET
Middle Name:
Last Name:OLIVERA SUAREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19221 SW 125TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6551
Mailing Address - Country:US
Mailing Address - Phone:786-745-0948
Mailing Address - Fax:
Practice Address - Street 1:1404 NW 22ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-7742
Practice Address - Country:US
Practice Address - Phone:305-325-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9645706163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse