Organization Name: | UNITED HEALTH SERVICES USA CORP |
NPI Number: | 1104192277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIGUEL RODRIGUEZ (PRESIDENT) |
Mailing Address: | 6001 Nw 153rd St Ste 102 Miami Lakes |
State: | FL US |
Postal Code: | 330142419 |
Phone Number: | 3058187108 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AHCA HCC9632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |