MEDICARE: OPTIMUM SLEEP SOLUTIONS, INC.

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	293D00000X	Physiological Laboratory
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1215819503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMUM SLEEP SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	3181 CORAL WAY FL 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-0013

Provider Business Practice Location Address
First Line	:	3181 CORAL WAY FL 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-0013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDRES REDONDO
Credential	:	MD
Telephone Number	:	305-567-1999

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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