Healthcare Provider Details

I. General information

NPI: 1740551670
Provider Name (Legal Business Name): VIRTUAL IMAGING SLEEP CARE, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 SW 99TH AVE SUITE 106
MIAMI FL
33173-4661
US

IV. Provider business mailing address

9835 SW 72ND ST SUITE 107
MIAMI FL
33173-4670
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-9992
  • Fax: 305-779-9096
Mailing address:
  • Phone: 305-596-9992
  • Fax: 305-779-9096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberHCC8083
License Number StateFL

VIII. Authorized Official

Name: DR. ROGELIO CATTAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 305-596-9992