Provider Demographics
NPI:1942660816
Name:SUNMED HEALTH CENTER INC
Entity Type:Organization
Organization Name:SUNMED HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:TIRADO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:305-944-1122
Mailing Address - Street 1:150 NW 168TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6045
Mailing Address - Country:US
Mailing Address - Phone:305-944-1122
Mailing Address - Fax:305-944-1133
Practice Address - Street 1:150 NW 168TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-6045
Practice Address - Country:US
Practice Address - Phone:305-944-1122
Practice Address - Fax:305-944-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty