MEDICARE: SUNMED HEALTH CENTER INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363A00000X	Physician Assistant
3	207Q00000X	Family 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	:	1942660816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNMED HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	150 NW 168TH ST
Second Line	:	SUITE 301
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6045
Country	:	US
Telephone Number	:	305-944-1122
Fax Number	:	305-944-1133

Provider Business Practice Location Address
First Line	:	150 NW 168TH ST
Second Line	:	SUITE 301
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6045
Country	:	US
Telephone Number	:	305-944-1122
Fax Number	:	305-944-1133

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALEXANDER TIRADO
Credential	:	P.A.-C
Telephone Number	:	305-944-1122

Provider Enumeration Date	:	03/04/2016
Last Update Date	:	03/04/2016

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Directions to “SUNMED HEALTH CENTER INC ” Practice Location

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