Look up the most recent NPI and PECOS records

Suncare Medical Center Llc

(<Unavail>)

Clinic/Center

Ambulatory Health Care Facilities

1782 W Flagler St, Miami, FL 33135-2017

PECOS Enrollment

Based on the most recent information from CMS, provider Suncare Medical Center Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1952952848
Provider Type
Organization
Full Name
Suncare Medical Center Llc
Other Name
<Unavail>

Subpart
No
Enumeration Date
9/23/2019
Last Updated
10/9/2024

Contact Information

Practice Location

1782 W Flagler St, Miami, FL 33135-2017

(305) 489-9090

(305) 998-4963

Mailing Location

1782 W Flagler St, Miami, FL 33135-2017

(305) 489-9090

(305) 998-4963

Authorized Official

Hernandez, Yudaisy Barbara (Mgr)

(305) 489-9090

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License Unlisted Issuer
Code 163WM1400X	Description Registered Nurse Nursing Service Providers	License Unlisted Issuer
Code 1744R1102X	Description Specialist Other Service Providers	License Unlisted Issuer
Code 225100000X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 261QA0600X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QM0850X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QM1300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP0905X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP1100X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP2000X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP2300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP3300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QU0200X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 332900000X	Description Non-Pharmacy Dispensing Site Suppliers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 121452100	Description Medicaid	Issuer Unlisted Florida

Suncare Medical Center Llc

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

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