Organization
SDR CLINIC AND SLEEP DISORDER INSTITUTE LLC
Active
Other names
SDR Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO A. RAMIREZ (MANAGING MEMBER)
(305) 263-6820
Entity
Organization
Contact information
Practice address
836 PONCE DE LEON BLVD, SUITE 202, CORAL GABLES, FL 33134-3039
(305) 263-6820
(305) 263-6821
Mailing address
836 PONCE DE LEON BLVD, SUITE 202, CORAL GABLES, FL 33134-3039
(305) 263-6820
(305) 263-6821
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
HCC4821
FL
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC4821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265598500
—
FL
Enumeration date
05/12/2006
Last updated
05/07/2009
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