| NPI | 1245863448 |
|---|---|
| Doing Business As | SUNISS UP |
| Former Legal Business Name | SOCIAL DIVERSITY LLC |
| Entity Type | Organization |
| Authorized Contact | ESEL AGUILAR Owner/CEO 786-975-7485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2022-05-17 |