Organization
SUNRISE PRIMARY CARE INC
Active
Organization
SUNRISE PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA-JOSEFINA S RIVERA M.D. (PRES.)
(386) 698-2279
Entity
Organization
Contact information
Practice address
811 NORTH SUMMIT ST, CRESCENT CITY, FL 32112-2407
(386) 698-2279
(386) 698-2239
Mailing address
PO BOX 249, PALATKA, FL 32178-0249
(386) 698-2279
(386) 698-2239
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME76342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660181200
—
FL
Enumeration date
05/23/2006
Last updated
07/27/2007
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