Super Nova Dialysis Center, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SUPER NOVA DIALYSIS CENTER, INC.

Practice address

5544 SW 8TH St
Coral Gables, FL 33134-2220

Phone

(786) 715-5484

Fax

(786) 206-9009

NPI assigned

Jun 17, 2012

Last updated

Jun 17, 2012By 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

Felicita Casas

Title

President

Phone

(305) 431-3191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339891200000",
    "number": "1588927479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342220",
            "telephone_number": "786-715-5484",
            "fax_number": "786-206-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER NOVA DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-17",
        "last_updated": "2012-06-17",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "FELICITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-431-3191"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshiine Medical and Pain Management Inc
• Sunshine Med Group, Inc
• Sunshine Psychological Services Inc
• Sunshine Speech Pathology, LLC
• Sunshine Wellness Clinic Corp
• Superb Hearing, Inc (Florida Hearing Institute)
• Superior Quality Medical Services
• Surfside Anesthesia Services Inc
• Surgery Center of Coral Gables LLC
• Surgical Advanced Technologies Corporation

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.