Provider Demographics
NPI:1538596713
Name:SUNRISE RESEARCH INSTITUTE INC
Entity type:Organization
Organization Name:SUNRISE RESEARCH INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YULIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-409-6849
Mailing Address - Street 1:434 SW 12TH AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2433
Mailing Address - Country:US
Mailing Address - Phone:786-409-6849
Mailing Address - Fax:786-409-6872
Practice Address - Street 1:434 SW 12TH AVE STE 302
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2433
Practice Address - Country:US
Practice Address - Phone:786-409-6849
Practice Address - Fax:786-409-6872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch