Provider Demographics
NPI:1003001900
Name:SLEEP DISORDER SOLUTIONS
Entity Type:Organization
Organization Name:SLEEP DISORDER SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:ALFONSO
Authorized Official - Last Name:GALLARDO
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RPSGT
Authorized Official - Phone:305-405-8548
Mailing Address - Street 1:6141 SUNSET DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5028
Mailing Address - Country:US
Mailing Address - Phone:305-405-8548
Mailing Address - Fax:305-668-8740
Practice Address - Street 1:6141 SUNSET DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5028
Practice Address - Country:US
Practice Address - Phone:305-405-8548
Practice Address - Fax:305-668-8740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherOUTPATIENT