Provider Demographics
NPI:1134496458
Name:SONO SERVICE CORP
Entity Type:Organization
Organization Name:SONO SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FABIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-222-2236
Mailing Address - Street 1:2450 SW 137TH AVE
Mailing Address - Street 2:SUITE 218
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8802
Mailing Address - Country:US
Mailing Address - Phone:305-222-2236
Mailing Address - Fax:305-222-2237
Practice Address - Street 1:2450 SW 137TH AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8802
Practice Address - Country:US
Practice Address - Phone:305-222-2236
Practice Address - Fax:305-222-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology