Provider Demographics
NPI:1528425857
Name:SUPERIOR HEALTHCARE & RESEARCH LLC
Entity type:Organization
Organization Name:SUPERIOR HEALTHCARE & RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOSLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-763-2384
Mailing Address - Street 1:7930 NW 36TH ST STE 214-215
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6666
Mailing Address - Country:US
Mailing Address - Phone:305-763-2384
Mailing Address - Fax:877-347-5666
Practice Address - Street 1:7930 NW 36TH ST STE 214-215
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6666
Practice Address - Country:US
Practice Address - Phone:305-763-2384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QM1300X, 261QR1100X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch