Healthcare Provider Details

I. General information

NPI: 1598514291
Provider Name (Legal Business Name): SUNSET ENDOSCOPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 SW 72ND ST STE 100
MIAMI FL
33173-3488
US

IV. Provider business mailing address

5101 SW 8TH ST STE 201
CORAL GABLES FL
33134-2442
US

V. Phone/Fax

Practice location:
  • Phone: 786-762-3501
  • Fax: 305-262-6038
Mailing address:
  • Phone: 786-762-3501
  • Fax: 305-262-6038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA T PINEDA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-226-5574