Organization Active NPI

Sunrise Radiology Service LLC

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1457185795
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUNRISE RADIOLOGY SERVICE LLC
Practice address
1700 NE 57TH St
Ft Lauderdale, FL 33334-5913
Phone
(888) 967-8674
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Hulda Iglesias Gonzalez
Title
Owner
Phone
(888) 967-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1700 NE 57TH St
Ft Lauderdale, FL 33334-5913

Mailing address

1700 NE 57TH St
Ft Lauderdale, FL 33334-5913
Phone (888) 967-8674

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1457185795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NE 57TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345913",
            "telephone_number": "888-967-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NE 57TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345913",
            "telephone_number": "888-967-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RADIOLOGY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS GONZALEZ",
        "authorized_official_first_name": "HULDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-967-8674"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.