Organization Active NPI

Sunshine Diagnostic & Medical Services Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1043483142
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUNSHINE DIAGNOSTIC & MEDICAL SERVICES INC
Practice address
8550 W. Flagler St
Suite 104
Miami, FL 33144
Phone
(305) 223-6640
Fax
(305) 223-6639
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mario Raul Fraga
Title
President
Phone
(305) 223-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X FL Primary

Addresses

Primary practice location

8550 W. Flagler St
Suite 104
Miami, FL 33144

Mailing address

8550 W Flagler St
Suite 104
Miami, FL 33144-2037
Phone (305) 223-6640

National Provider Directory

National Provider Directory

Locations

8550 W Flagler St
Ste 104
Miami, FL 33144
Phone (305) 223-6640

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1043483142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W FLAGLER ST",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442037",
            "telephone_number": "305-223-6640",
            "fax_number": "305-223-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 W. FLAGLER ST",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33144",
            "telephone_number": "305-223-6640",
            "fax_number": "305-223-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE DIAGNOSTIC & MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-223-6640"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.