Organization Active NPI

Sunrise Relax Health Care Corp.

  • Massage Therapist
  • Sweetwater, FL
National Provider Identifier
1316031131
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA-38546 Issued in FL
Legal business name
SUNRISE RELAX HEALTH CARE CORP.
Practice address
636 SW 109TH Ave.
Sweetwater, FL 33174-1338
Phone
(305) 221-8500
Fax
(305) 221-8501
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Mrs. Wilfredo Fajo, LMT
Title
President
Phone
(786) 316-5546

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PTA-14895 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA-38546 FL Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X CNA-68343 FL

Addresses

Primary practice location

636 SW 109TH Ave.
Sweetwater, FL 33174-1338

Mailing address

636 SW 109TH Ave.
Sweetwater, FL 33174-1338
Phone (305) 221-8500

National Provider Directory

National Provider Directory

Locations

636 SW 109th Ave
Miami, FL 33174
Phone (305) 221-8500

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1316031131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SW 109TH AVE.",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331741338",
            "telephone_number": "305-221-8500",
            "fax_number": "305-221-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SW 109TH AVE.",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331741338",
            "telephone_number": "305-221-8500",
            "fax_number": "305-221-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RELAX HEALTH CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "FAJO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-316-5546",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA-14895",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA-38546",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "CNA-68343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.