| Sunrise Medcare Center Inc | |
|
80 Wilson Blvd S Ste 11 Naples FL 34117-9386 | |
| (239) 208-5990 | |
| (239) 302-6813 |
| Full Name | Sunrise Medcare Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 80 Wilson Blvd S Ste 11, Naples, Florida |
| Authorized Official Name and Position | Alfredo Gonzalez-vergara (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3054099681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medcare Center Inc 80 Wilson Blvd S Ste 11 Naples FL 34117-9386 Ph: () - | Sunrise Medcare Center Inc 80 Wilson Blvd S Ste 11 Naples FL 34117-9386 Ph: (239) 208-5990 |
| NPI Number | 1730844549 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Medicare PECOS PAC ID | 6305232950 |
|---|---|
| Medicare Enrollment ID | O20220406003127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730844549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Alfredo Gonzalez-vergara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790976371 PECOS PAC ID: 2062574940 Enrollment ID: I20081231000413 |
| Provider Name | Caridad Geidy Carreras Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730885344 PECOS PAC ID: 3678937133 Enrollment ID: I20230915003605 |
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