Healthcare Provider Details

I. General information

NPI: 1215819503
Provider Name (Legal Business Name): OPTIMUM SLEEP SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 CORAL WAY FL 3
MIAMI FL
33145-3216
US

IV. Provider business mailing address

3181 CORAL WAY FL 3
MIAMI FL
33145-3216
US

V. Phone/Fax

Practice location:
  • Phone: 305-567-1999
  • Fax: 305-567-0013
Mailing address:
  • Phone: 305-567-1999
  • Fax: 305-567-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDRES REDONDO
Title or Position: PRESIDENT
Credential: MD
Phone: 305-567-1999