Organization Active NPI

Surgical Center at Sun N Lake Anesthesia, LLC

  • Specialist
  • Sebring, FL
National Provider Identifier
1912346677
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME68749 Issued in FL
Legal business name
SURGICAL CENTER AT SUN N LAKE ANESTHESIA, LLC
Practice address
2367 US Highway 27 S
Sebring, FL 33870-4926
Phone
(863) 414-8131
Fax
(863) 402-5449
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Juan Ros Carretero, M.D.
Title
Medical Director
Phone
(863) 414-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME68749 FL Primary

Addresses

Primary practice location

2367 US Highway 27 S
Sebring, FL 33870-4926

Mailing address

2367 US Highway 27 S
Sebring, FL 33870-4926
Phone (863) 414-8131

National Provider Directory

National Provider Directory

Locations

2367 US Highway 27 S
Sebring, FL 33870
Phone (863) 402-5475

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1912346677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338704926",
            "telephone_number": "863-414-8131",
            "fax_number": "863-402-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338704926",
            "telephone_number": "863-414-8131",
            "fax_number": "863-402-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER AT SUN N LAKE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "CARRETERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ROS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-414-8131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.