Provider Demographics
NPI:1245239086
Name:EL SOL UNIVERSAL, INC
Entity Type:Organization
Organization Name:EL SOL UNIVERSAL, INC
Other - Org Name:THE UNIVERSAL SUN, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAULINO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-0202
Mailing Address - Street 1:7400 NW 77TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2213
Mailing Address - Country:US
Mailing Address - Phone:305-882-0202
Mailing Address - Fax:305-882-0205
Practice Address - Street 1:7400 NW 77TH TER
Practice Address - Street 2:
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7503
Practice Address - Country:US
Practice Address - Phone:305-882-0202
Practice Address - Fax:305-882-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1313553OtherAHCA
FL32:01589OtherMEDICAL OXYGEN PERMIT
FL1313553OtherAHCA