NPIMap

Organization Active NPI

Sunlite Medical Associates Inc

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1013014083
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME97042 Issued in FL
Legal business name
SUNLITE MEDICAL ASSOCIATES INC
Practice address
4811 W 4TH Ave
Hialeah, FL 33012-3939
Phone
(305) 822-0068
Fax
(305) 819-4445
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pablo M Guala, M.D.NPI 1407953482
Title
President
Phone
(305) 822-0068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X ME97042 FL Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X ME97042 FL
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X ME97042 FL

Addresses

Primary practice location

4811 W 4TH Ave
Hialeah, FL 33012-3939

Mailing address

4811 W 4TH Ave
Hialeah, FL 33012-3939
Phone (305) 822-0068

Other identifiers 1

IdentifierTypeStateIssuer
276796100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000815 FL Part B Supplier - Clinic/Group Practice 0042302572 Receives reassigned benefits from 4 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

4980 W 10th Ave
Ste 201
Hialeah, FL 33012
Phone (305) 822-0068

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1013014083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-822-0068",
            "fax_number": "305-819-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-822-0068",
            "fax_number": "305-819-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLITE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "GUALA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-0068",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME97042",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME97042",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME97042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276796100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.