Organization Active NPI

Sunshine Behavior Health Care Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1942175757
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNSHINE BEHAVIOR HEALTH CARE INC
Doing business as
SUNSHINE MEDICAL PRACTICES
Practice address
2550 NW 72 Ave
115-117
Miami, FL 33122
Phone
(786) 536-2012
Fax
(786) 536-2013
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Widayessi Fernandez, APRNNPI 1356852669
Title
Owner
Phone
(786) 536-2012

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

2550 NW 72 Ave
115-117
Miami, FL 33122

Mailing address

2550 NW 72ND Ave Ste 115-117
Miami, FL 33122-1350
Phone (786) 536-2012

Other names 1

  • SUNSHINE MEDICAL PRACTICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808000096 FL Part B Supplier - Clinic/Group Practice 0941747901 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2335544Sunshine Medical Practices2550 NW 72 Ave Suite 117, Miami, FL 33122Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Behavior Health Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 NW 72nd Ave
Miami, FL 33122

2550 NW 72nd Ave
#115117
Miami, FL 33122
Phone (786) 536-2012

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": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1942175757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE STE 115-117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221350",
            "telephone_number": "786-536-2012",
            "fax_number": "786-536-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW 72 AVE",
            "address_2": "115-117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33122",
            "telephone_number": "786-536-2012",
            "fax_number": "786-536-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE BEHAVIOR HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "WIDAYESSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-536-2012",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE MEDICAL PRACTICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.