Healthcare Provider Details

I. General information

NPI: 1487569414
Provider Name (Legal Business Name): SONO PROFESSIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23381 SW 110TH CT
HOMESTEAD FL
33032-6302
US

IV. Provider business mailing address

23381 SW 110TH CT
HOMESTEAD FL
33032-6302
US

V. Phone/Fax

Practice location:
  • Phone: 786-357-5228
  • Fax:
Mailing address:
  • Phone: 786-357-5228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ROSA MARIA TAGARRO PELAEZ
Title or Position: OWNER
Credential: MEDICAL SONOGRAPHER
Phone: 786-357-4889