MEDICARE: SUNSET WELLNESS & REHAB CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1740612720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET WELLNESS & REHAB CENTER, LLC

Provider Business Mailing Address
First Line	:	7000 SW 97TH AVE
Second Line	:	SUITE 120
City	:	MIAMI
State	:	FL
Zip	:	33173-1494
Country	:	US
Telephone Number	:	305-261-4441
Fax Number	:	305-396-8734

Provider Business Practice Location Address
First Line	:	9425 SUNSET DR STE 130
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3295
Country	:	US
Telephone Number	:	305-261-4441
Fax Number	:	305-396-8734

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ROBERT DIAZ
Credential	:
Telephone Number	:	305-261-4441

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	07/01/2020

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