Provider Demographics
NPI:1457582421
Name:SUNRISE DME LLC
Entity Type:Organization
Organization Name:SUNRISE DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-782-7702
Mailing Address - Street 1:200 W EXPRESSWAY 83
Mailing Address - Street 2:SUITE L
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3641
Mailing Address - Country:US
Mailing Address - Phone:956-782-7702
Mailing Address - Fax:956-782-7340
Practice Address - Street 1:200 W EXPRESSWAY 83
Practice Address - Street 2:SUITE L
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3641
Practice Address - Country:US
Practice Address - Phone:956-782-7702
Practice Address - Fax:956-782-7340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies