Provider Demographics
NPI:1164711602
Name:HOSPITAL UPR
Entity Type:Organization
Organization Name:HOSPITAL UPR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PGY 1
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-238-7736
Mailing Address - Street 1:1155 BRICKELL BAY DR
Mailing Address - Street 2:APARTMENT 403
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2983
Mailing Address - Country:US
Mailing Address - Phone:787-238-7736
Mailing Address - Fax:
Practice Address - Street 1:1155 BRICKELL BAY DR
Practice Address - Street 2:APARTMENT 403
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2983
Practice Address - Country:US
Practice Address - Phone:787-238-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17878282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital