Healthcare Provider Details

I. General information

NPI: 1093314569
Provider Name (Legal Business Name): SONRISAS WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2020
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 SW 8TH ST STE 16
MIAMI FL
33174-2947
US

IV. Provider business mailing address

9600 SW 8TH ST STE 16
MIAMI FL
33174-2947
US

V. Phone/Fax

Practice location:
  • Phone: 402-803-8254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANIBAL BARRABI
Title or Position: OWNER
Credential:
Phone: 402-802-8254