Provider Demographics
NPI:1619558772
Name:SALUD HEALTHCARE SUNNY ISLES, INC.
Entity Type:Organization
Organization Name:SALUD HEALTHCARE SUNNY ISLES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-231-5141
Mailing Address - Street 1:323 SUNNY ISLES BLVD FL 7
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4232
Mailing Address - Country:US
Mailing Address - Phone:954-231-5148
Mailing Address - Fax:954-231-5142
Practice Address - Street 1:3363 NE 163RD ST STE 505
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4423
Practice Address - Country:US
Practice Address - Phone:954-231-5148
Practice Address - Fax:954-231-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty