NPIMap

Organization Active NPI

SDR Clinic and Sleep Disorder Institute LLC

  • Multi-Specialty Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1699725846
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
HCC4821 Issued in FL
Legal business name
SDR CLINIC AND SLEEP DISORDER INSTITUTE LLC
Practice address
836 Ponce de Leon Blvd.
Suite 202
Coral Gables, FL 33144-3039
Phone
(305) 263-6820
Fax
(305) 263-6821
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Marco A. Ramirez
Title
Managing Member
Phone
(305) 263-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X HCC4821 FL Primary

Addresses

Primary practice location

836 Ponce de Leon Blvd.
Suite 202
Coral Gables, FL 33144-3039

Mailing address

836 Ponce de Leon Blvd
Suite 202
Coral Gables, FL 33134-3039
Phone (305) 263-6820

Other identifiers 1

IdentifierTypeStateIssuer
265598500MedicaidFL

Other names 1

  • SDR Sleep & diagnostics LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1699725846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PONCE DE LEON BLVD",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343039",
            "telephone_number": "305-263-6820",
            "fax_number": "305-263-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PONCE DE LEON BLVD.",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331443039",
            "telephone_number": "305-263-6820",
            "fax_number": "305-263-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDR CLINIC AND SLEEP DISORDER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-263-6820"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC4821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265598500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDR Sleep & diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.