Organization Active NPI

Sunrise Medical Office Inc

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1184776494
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
1184776494 Issued in FL
Legal business name
SUNRISE MEDICAL OFFICE INC
Practice address
2500 SW 107TH Ave
Suit #48
Miami, FL 33165-2470
Phone
(305) 207-9041
Fax
(305) 207-9043
NPI assigned
Jan 17, 2007
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Jose A Oliva
Title
President
Phone
(305) 207-9041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 1184776494 FL Primary

Addresses

Primary practice location

2500 SW 107TH Ave
Suit #48
Miami, FL 33165-2470

Mailing address

2500 SW 107TH Ave
Suit #48
Miami, FL 33165-2470
Phone (305) 207-9041

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1184776494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE",
            "address_2": "SUIT #48",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652470",
            "telephone_number": "305-207-9041",
            "fax_number": "305-207-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE",
            "address_2": "SUIT #48",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652470",
            "telephone_number": "305-207-9041",
            "fax_number": "305-207-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-9041"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "1184776494",
            "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 Nov 9, 2009; 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.