Healthcare Provider Details
I. General information
NPI: 1902042377
Provider Name (Legal Business Name): SONTRONICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2009
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1421 SW 107TH AVE STE 266
MIAMI FL
33174-2526
US
IV. Provider business mailing address
1421 SW 107TH AVE STE 266
MIAMI FL
33174-2526
US
V. Phone/Fax
- Phone: 786-326-6320
- Fax:
- Phone: 786-326-6320
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIC
DE LEON RIVERA
Title or Position: PRESIDENT
Credential:
Phone: 786-326-6320