Provider Demographics
NPI:1407830755
Name:SUNSET MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:SUNSET MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RFOM
Authorized Official - Phone:787-785-7144
Mailing Address - Street 1:PO BOX 9020
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-9020
Mailing Address - Country:US
Mailing Address - Phone:787-798-1688
Mailing Address - Fax:866-954-2039
Practice Address - Street 1:EXT VILLA RICA
Practice Address - Street 2:G-23 CALLE 1
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5016
Practice Address - Country:US
Practice Address - Phone:787-798-1668
Practice Address - Fax:866-954-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRRFOM0305335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6138320001Medicare NSC