Active NPI
Sunset Dermatology Skin, Laser & Vein Center, P.a.
- Procedural Dermatology Physician
- South Miami, FL
National Provider Identifier
1528075645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- ME59703
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ileana R Perez-Quintairos, MD
- Title
- President
- Phone
- (305) 669-2799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2184106 | Sunset Dermatology Skin Laser & Vein Center LLC | Provider-performed microscopy | May 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
6310 Sunset Dr
South Miami, FL 33143
Phone (305) 662-5895
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Miami, FL
- NPI 1538823075
-
- Specialist
- Miami, FL
- NPI 1740265339
-
- Medical Physician Assistant
- Miami, FL
- NPI 1013272244
-
- Medical Physician Assistant
- South Miami, FL
- NPI 1376931972
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.