Provider Demographics
NPI:1215289418
Name:SUNSET SURGICAL SUITES CORP
Entity type:Organization
Organization Name:SUNSET SURGICAL SUITES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:SOLER-BAILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-1996
Mailing Address - Street 1:7231 SW 63RD AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4809
Mailing Address - Country:US
Mailing Address - Phone:305-661-1996
Mailing Address - Fax:305-662-2204
Practice Address - Street 1:7231 SW 63RD AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4809
Practice Address - Country:US
Practice Address - Phone:305-661-1996
Practice Address - Fax:305-662-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical