Organization Active NPI

Sunrise Mex Corp

  • Durable Medical Equipment & Medical Supplies
  • Sunrise, FL
National Provider Identifier
1104536432
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNRISE MEX CORP
Practice address
8358 W Oakland Park Blvd Ste 202D
Sunrise, FL 33351-7340
Phone
(813) 298-4975
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Fermin Quintana
Title
Owner/Authorized Official
Phone
(813) 298-4975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8358 W Oakland Park Blvd Ste 202D
Sunrise, FL 33351-7340

Mailing address

8358 W Oakland Park Blvd Ste 202D
Sunrise, FL 33351-7340
Phone (813) 298-4975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1104536432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD STE 202D",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517340",
            "telephone_number": "813-298-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD STE 202D",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517340",
            "telephone_number": "813-298-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "FERMIN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "813-298-4975"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.