Provider Demographics
NPI:1437469905
Name:SUNRISE REHABILITATION INC.
Entity type:Organization
Organization Name:SUNRISE REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ITDS
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONDONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-244-1088
Mailing Address - Street 1:13953 SW 66TH ST #808.
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183
Mailing Address - Country:US
Mailing Address - Phone:305-244-1088
Mailing Address - Fax:305-386-8534
Practice Address - Street 1:13953 SW 66TH ST. 808
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183
Practice Address - Country:US
Practice Address - Phone:305-244-1088
Practice Address - Fax:305-386-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency