NPIMap

Organization Active NPI

Sunset Dermatology Skin, Laser & Vein Center, P.a.

  • Procedural Dermatology Physician
  • South Miami, FL
National Provider Identifier
1528075645
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME59703 Issued in FL
Legal business name
SUNSET DERMATOLOGY SKIN, LASER & VEIN CENTER, P.A.
Practice address
6310 Sunset Dr
South Miami, FL 33143-4823
Phone
(305) 669-2799
Fax
(305) 662-5895
NPI assigned
Aug 2, 2006
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Ileana R Perez-Quintairos, MDNPI 1376566802
Title
President
Phone
(305) 669-2799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X ME59703 FL Primary

Addresses

Primary practice location

6310 Sunset Dr
South Miami, FL 33143-4823

Mailing address

6310 Sunset Dr
South Miami, FL 33143-4823
Phone (305) 669-2799

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2184106Sunset Dermatology Skin Laser & Vein Center LLC6310 Sunset Drive, Miami, FL 33143Provider-performed microscopyMay 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1528075645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434823",
            "telephone_number": "305-669-2799",
            "fax_number": "305-662-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434823",
            "telephone_number": "305-669-2799",
            "fax_number": "305-662-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DERMATOLOGY SKIN, LASER & VEIN CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ-QUINTAIROS",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-669-2799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME59703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.