Active NPI
Sunrise Medcare Center Inc
- Family Medicine Physician
- Naples, FL
National Provider Identifier
1730844549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUNRISE MEDCARE CENTER INC
- Practice address
- 80 Wilson Blvd S Ste 11
Naples, FL 34117-9386 - Phone
- (239) 208-5990
- Fax
- (239) 302-6813
- NPI assigned
- Nov 5, 2021
- 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. Alfredo Gonzalez-Vergara, MD
- Title
- Medical Director
- Phone
- (305) 409-9681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
80 Wilson Blvd S Ste 11
Naples, FL 34117-9386
Mailing address
80 Wilson Blvd S Ste 11
Naples, FL 34117-9386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
80 Wilson Blvd S
Ste 11
Naples, FL 34117
Phone (239) 208-5390
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Miami Lakes, FL
- NPI 1790976371
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1730885344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636070400000",
"number": "1730844549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WILSON BLVD S STE 11",
"city": "NAPLES",
"state": "FL",
"postal_code": "341179386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WILSON BLVD S STE 11",
"city": "NAPLES",
"state": "FL",
"postal_code": "341179386",
"telephone_number": "239-208-5990",
"fax_number": "239-302-6813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE MEDCARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A",
"authorized_official_last_name": "GONZALEZ-VERGARA",
"authorized_official_first_name": "ALFREDO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-409-9681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.