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Organization
SUNSET RADIOLOGY INC
Active
Organization
SUNSET RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A RAVENTOS (PRESIDENT)
(305) 273-6602
Entity
Organization
Contact information
Practice address
7000 SW 97TH AVE, MIAMI, FL 33173-1494
(305) 273-6602
(305) 273-6603
Mailing address
7000 SW 97TH AVE, MIAMI, FL 33173-1474
(305) 273-6602
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC 4307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052512
CAREPLUS
FL
01
—
300622
AVMED
FL
01
—
7547788
AETNA
FL
05
—
HCC11983
—
FL
01
—
V3092
BC-BS
FL
Enumeration date
05/19/2006
Last updated
03/17/2020
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