Status Med Assistance, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME113594 Issued in FL

Legal business name

STATUS MED ASSISTANCE, LLC

Doing business as

sunny medical center

Practice address

17070 Collins Ave
257
Sunny Isles Beach, FL 33160-3635

Phone

(305) 306-0000

Fax

(305) 306-1111

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mariana Bubucea, MD

Title

President

Phone

(305) 306-0000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• sunny medical center Doing business as

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1417366253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 COLLINS AVE",
            "address_2": "257",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603635",
            "telephone_number": "305-306-0000",
            "fax_number": "305-306-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 COLLINS AVE",
            "address_2": "257",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603635",
            "telephone_number": "305-306-0000",
            "fax_number": "305-306-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATUS MED ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "BUBUCEA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-306-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME113594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006257100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GJ2842",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sunny medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.