1. Home
  2. Directory
  3. Florida
  4. Port St Lucie
  5. Pediatrics
  6. NPI Profile

SURAMED HEALTH CENTER PA PORT SAINT LUCIE
NPI 1649896127
Pediatrics in Port St Lucie, FL

Active since June 22, 2020CLIA 10D2197575 · Waiver
683 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953(772) 204-2909(772) 785-8138 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, Aug 16, 2024, Apr 18, 2022 and 2 more (5 updates tracked since 2020).

About Suramed Health Center Pa Port Saint Lucie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURAMED HEALTH CENTER PA PORT SAINT LUCIE (NPI 1649896127) is a healthcare organization registered as a pediatrics in Port St Lucie, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Alfonso J Henriquez, Pediatrics, as its authorized official.

NPPES Registry Identity

NPI1649896127
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSURAMED HEALTH CENTER, PA
Location Address683 SW PORT ST LUCIE BLVDPort St Lucie, FL 34953-1998
Mailing Address683 Sw Port St Lucie BlvdPort St Lucie, FL 34953-1998 · (561) 275-7100 · Fax (561) 275-7199
Phone(772) 204-2909
Fax(772) 785-8138
Organization SubpartNo
Authorized OfficialAlfonso J HenriquezPediatrics · (772) 204-2909
Enumeration DateJune 22, 2020
Last NPPES UpdateDecember 23, 20245 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1649896127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
683 SW PORT ST LUCIE BLVD, Port St Lucie, FL 34953
Open in Google Maps ↗

Other Names 1

Doing Business AsSuramed Health Center Pa Port Saint Lucie

Other Identifiers 1

Medicaid009406903FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2197575

Suramed Health Center PA · Port Saint Lucie, FL
Active · expires Oct 25, 2026
CLIA Number10D2197575
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorAlfonso Henriquez
Laboratory Phone(772) 204-2909
Laboratory LocationSuramed Health Center PA683 SW Port St Lucie Blvd, Port Saint Lucie, FL 34953
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILIANA BOUZA ARJONA APRN
Nurse Practitioner (Family)
683 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (772) 204-2909
DR. MIGUEL A PEREIRA ROBERT M.D.
Pediatrics
683 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953
St. Lucie County (787) 484-0750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suramed Health Center, PA's NPI number?

The NPI number for Suramed Health Center, PA is 1649896127. It was assigned to this organization in the NPPES registry on June 22, 2020. The provider is doing business as Suramed Health Center PA Port Saint Lucie.

Where is Suramed Health Center, PA located?

Suramed Health Center, PA is located at 683 SW Port St Lucie Blvd, Port St Lucie, FL 34953. The listed phone number is (772) 204-2909.

What is Suramed Health Center, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Suramed Health Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2197575) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suramed Health Center, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Suramed Health Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suramed Health Center, PA was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.