Provider Demographics
NPI:1629125307
Name:AMERICAN SLEEP INSTITUTE, INC
Entity Type:Organization
Organization Name:AMERICAN SLEEP INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-702-9510
Mailing Address - Street 1:7150 W 20TH AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5529
Mailing Address - Country:US
Mailing Address - Phone:305-702-9510
Mailing Address - Fax:305-702-9512
Practice Address - Street 1:7150 W 20TH AVE
Practice Address - Street 2:SUITE 510
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5529
Practice Address - Country:US
Practice Address - Phone:305-702-9510
Practice Address - Fax:305-702-9512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6460261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5251Medicare ID - Type Unspecified