Provider Demographics
NPI:1033975818
Name:ULTIMATE CONSULTING LLC
Entity Type:Organization
Organization Name:ULTIMATE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:MARIANA
Authorized Official - Last Name:LIZARAZO RUEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-934-9004
Mailing Address - Street 1:1012 CALLE ELISEO F GUILLOT
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1167
Mailing Address - Country:US
Mailing Address - Phone:215-934-9004
Mailing Address - Fax:
Practice Address - Street 1:19 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677-2203
Practice Address - Country:US
Practice Address - Phone:787-823-1329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty