Provider Demographics
NPI:1740551670
Name:VIRTUAL IMAGING SLEEP CARE, CORP
Entity type:Organization
Organization Name:VIRTUAL IMAGING SLEEP CARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CATTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-9992
Mailing Address - Street 1:9835 SW 72ND ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4670
Mailing Address - Country:US
Mailing Address - Phone:305-596-9992
Mailing Address - Fax:305-779-9096
Practice Address - Street 1:7101 SW 99TH AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4661
Practice Address - Country:US
Practice Address - Phone:305-596-9992
Practice Address - Fax:305-779-9096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8083261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic