Provider Demographics
NPI:1639473911
Name:SOMNOCARE,LLC
Entity Type:Organization
Organization Name:SOMNOCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:305-763-8407
Mailing Address - Street 1:6333 SUNSET DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4822
Mailing Address - Country:US
Mailing Address - Phone:305-763-8407
Mailing Address - Fax:305-424-9194
Practice Address - Street 1:6333 SUNSET DR
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4822
Practice Address - Country:US
Practice Address - Phone:305-763-8407
Practice Address - Fax:305-424-9194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic