Sunset Surgery and Wound Care LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

17877 Issued in PR

Legal business name

SUNSET SURGERY AND WOUND CARE LLC

Practice address

105 Paseo Concepcion de Gracia
Apt 804
San Juan, PR 00901-2621

Phone

(787) 307-9889

Fax

(939) 697-8064

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Marian Baez Rodriguez, MDNPI 1902094998

Title

Director

Phone

(787) 307-9889

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marian Baez Rodriguez, M.D.

  • Surgery Physician
  • Mayaguez, PR
  • NPI 1902094998
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1972973014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PASEO CONCEPCION DE GRACIA",
            "address_2": "APT 804",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012621",
            "telephone_number": "787-307-9889",
            "fax_number": "939-697-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PASEO CONCEPCION DE GRACIA",
            "address_2": "APT 804",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012621",
            "telephone_number": "787-307-9889",
            "fax_number": "939-697-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SURGERY AND WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BAEZ RODRIGUEZ",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-307-9889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "PR",
            "license": "17877",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "17877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Marie Subervi-Vazquez, MD, MPH, MSC
• Yvonne Suescun, MD
• Mohammad Nader Suleiman, M.D.
• Sultana Diagnostic and Radiologic
• Summit Health Services Inc.
• Super Farmacia Barbosa Inc
• Super Farmacia Vanga Inc
• Supertienda Familiar Inc
• Supportive and Transition Care
• Supralva Corp

• Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.