Healthcare Provider Details

I. General information

NPI: 1811319692
Provider Name (Legal Business Name): MIAMI SUNSET SURGERY CENTER,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7190 SW 87TH AVE STE 403
MIAMI FL
33173-2512
US

IV. Provider business mailing address

7190 SW 87TH AVE STE 403
MIAMI FL
33173-2512
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-2228
  • Fax:
Mailing address:
  • Phone: 305-596-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE PEREZ-GURRI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 305-596-2228