Organization Active NPI

Sunshine Medical Wellness Center Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1841939766
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNSHINE MEDICAL WELLNESS CENTER CORP
Practice address
3850 SW 87TH Ave Ste 305
Miami, FL 33165-5474
Phone
(786) 353-2915
Fax
(786) 353-2711
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Yeisel Castanedo, MDNPI 1033615414
Title
Owner
Phone
(786) 353-2915

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3850 SW 87TH Ave Ste 305
Miami, FL 33165-5474

Mailing address

3850 SW 87TH Ave Ste 305
Miami, FL 33165-5474
Phone (786) 353-2915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220721003010 FL Part B Supplier - Clinic/Group Practice 4587045547 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3850 SW 87th Ave
Ste 306
Miami, FL 33165
Phone (305) 608-0656

Practitioners & affiliated clinicians

Practitioners 2

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": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1841939766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655474",
            "telephone_number": "786-353-2915",
            "fax_number": "786-353-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655474",
            "telephone_number": "786-353-2915",
            "fax_number": "786-353-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "CASTANEDO",
        "authorized_official_first_name": "YEISEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-353-2915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.

Verify at the official NPI Registry.