Provider Demographics
NPI:1689956096
Name:SUNSHINE HEALTH GROUP
Entity Type:Organization
Organization Name:SUNSHINE HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRALERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-0299
Mailing Address - Street 1:140 NW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4805
Mailing Address - Country:US
Mailing Address - Phone:305-261-0299
Mailing Address - Fax:305-261-0269
Practice Address - Street 1:140 NW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4805
Practice Address - Country:US
Practice Address - Phone:305-261-0299
Practice Address - Fax:305-261-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit