Organization Active NPI

Sunrise Medical & Community Mental Health Center Corp

  • Community/Behavioral Health Agency
  • Plantation, FL
National Provider Identifier
1942668900
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNRISE MEDICAL & COMMUNITY MENTAL HEALTH CENTER CORP
Practice address
100 NW 82ND Ave Ste 402
Plantation, FL 33324-1835
Phone
(786) 217-5427
Fax
(786) 615-7059
NPI assigned
Feb 5, 2016
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Natacha Valdes
Title
Owner
Phone
(786) 217-5427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 NW 82ND Ave Ste 402
Plantation, FL 33324-1835

Mailing address

100 NW 82ND Ave Ste 402
Plantation, FL 33324-1835
Phone (786) 217-5427

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1942668900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 402",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241835",
            "telephone_number": "786-217-5427",
            "fax_number": "786-615-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 402",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241835",
            "telephone_number": "786-217-5427",
            "fax_number": "786-615-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL & COMMUNITY MENTAL HEALTH CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-217-5427"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.