MEDICARE: SUNSET PRIMARY CARE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033816004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET PRIMARY CARE PA

Provider Business Mailing Address
First Line	:	6800 SW 40TH ST # 457
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10271 SW 72ND ST STE D102
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3024
Country	:	US
Telephone Number	:	786-894-0909
Fax Number	:	786-894-0808

Authorized Official
Title or Position	:	OWNER
Name	:	YORDAN ESTEBAN ORIVE GOMEZ
Credential	:	MD
Telephone Number	:	786-608-2991

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	02/16/2024

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Directions to “SUNSET PRIMARY CARE PA ” Practice Location

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