Provider Demographics
NPI:1871866814
Name:SUNRISE HEALTH CLINIC
Entity Type:Organization
Organization Name:SUNRISE HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-OPIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:7136-950-5000
Mailing Address - Street 1:4615 NORTH FWY
Mailing Address - Street 2:122
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-2917
Mailing Address - Country:US
Mailing Address - Phone:713-695-0500
Mailing Address - Fax:
Practice Address - Street 1:4615 NORTH FWY
Practice Address - Street 2:122
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-2917
Practice Address - Country:US
Practice Address - Phone:713-695-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty