| Sunset Neurological Group Llc | |
|
7374 Sw 93rd Ave 201a Miami FL 33173-5201 | |
| (305) 270-7774 | |
| (305) 270-7775 |
| Full Name | Sunset Neurological Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7374 Sw 93rd Ave, Miami, Florida |
| Authorized Official Name and Position | Rosario M Alfaro (OWNER) |
| Authorized Official Contact | 7867537467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Neurological Group Llc 7374 Sw 93rd Ave 201a Miami FL 33173-5201 Ph: (305) 270-7774 | Sunset Neurological Group Llc 7374 Sw 93rd Ave 201a Miami FL 33173-5201 Ph: (305) 270-7774 |
| NPI Number | 1821412578 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Medicare PECOS PAC ID | 9638463920 |
|---|---|
| Medicare Enrollment ID | O20160809002690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821412578 | NPI | - | NPPES |
| 002760700 | Medicaid | FL | |
| 053698900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hatem Zayed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609811041 PECOS PAC ID: 1456336148 Enrollment ID: I20040618000363 |
| Provider Name | Sonia Veronica Tolgyesi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033166897 PECOS PAC ID: 8921069204 Enrollment ID: I20050712000651 |
| Provider Name | Raul E Carballosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992728448 PECOS PAC ID: 6800804527 Enrollment ID: I20060322000405 |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Carlos Escasena |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770852410 PECOS PAC ID: 1153638085 Enrollment ID: I20150909003110 |
| Provider Name | Susanna C Oh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124363098 PECOS PAC ID: 0840500898 Enrollment ID: I20151104000790 |
| Provider Name | Oslaida Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184188872 PECOS PAC ID: 7810329349 Enrollment ID: I20191121000216 |
| Provider Name | Suez Oramas Mingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396237962 PECOS PAC ID: 6800296393 Enrollment ID: I20210622000120 |
| Provider Name | Alfredo N Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831753821 PECOS PAC ID: 7416318076 Enrollment ID: I20230728001117 |
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