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General NPI Number Information
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NPI Number | 1235011628
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Entity Type | Organization
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Legal Business Name | SUNRISE MEDICAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8725 NW 18TH TER STE 202
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City | DORAL
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State | FL
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Zip | 33172-2629
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Country | US
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Telephone | 786-536-4266
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Fax |
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Provider Business Mailing Address
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Address Line | 8725 NW 18TH TER STE 202
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City | DORAL
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State | FL
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Zip | 33172-2629
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Country | US
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Telephone | 786-536-4266
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORIDALMA MENJIVAR
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Credential |
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Telephone | 305-487-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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