| Sunshine Med Group, Inc | |
|
3990 W Flagler St Ste 406 Coral Gables FL 33134-1644 | |
| (305) 456-3879 | |
| Not Available |
| Full Name | Sunshine Med Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3990 W Flagler St Ste 406, Coral Gables, Florida |
| Authorized Official Name and Position | Leticia Bernal Leon (PRESIDENT) |
| Authorized Official Contact | 7863333530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Med Group, Inc 3990 W Flagler St Ste 406 Coral Gables FL 33134-1644 Ph: (305) 456-3879 | Sunshine Med Group, Inc 3990 W Flagler St Ste 406 Coral Gables FL 33134-1644 Ph: (305) 456-3879 |
| NPI Number | 1679102917 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 9638500028 |
|---|---|
| Medicare Enrollment ID | O20200519003234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679102917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sandor A Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649567421 PECOS PAC ID: 6608097449 Enrollment ID: I20141021001097 |
| Provider Name | Roberto Modesto Garcia De Varona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578183521 PECOS PAC ID: 7416375407 Enrollment ID: I20200908001072 |
| Provider Name | Greeyten Teresa Marrero Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157768 PECOS PAC ID: 1759797202 Enrollment ID: I20210308001060 |
| Provider Name | Jose A Rodriguez Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912583543 PECOS PAC ID: 3274932702 Enrollment ID: I20210602003152 |
| Provider Name | Yariana Martinez Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902482532 PECOS PAC ID: 7416356944 Enrollment ID: I20210602003315 |
| Provider Name | Dilcia Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134703853 PECOS PAC ID: 5395140032 Enrollment ID: I20210818004122 |
| Provider Name | Milenis Lopez Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417537010 PECOS PAC ID: 4486015716 Enrollment ID: I20230802001700 |
| Provider Name | Madeleidis Lopez Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265013981 PECOS PAC ID: 4486015674 Enrollment ID: I20230803004115 |
| Provider Name | Daydig Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760251342 PECOS PAC ID: 8527419183 Enrollment ID: I20240108004352 |
| Provider Name | Leticia Bernal Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417727637 PECOS PAC ID: 5597020222 Enrollment ID: I20240125003420 |
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