Provider Demographics
NPI:1275257222
Name:UNITED DOCTORS UNIDOCTORS
Entity Type:Organization
Organization Name:UNITED DOCTORS UNIDOCTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 11597
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1597
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PLAZA PASEO DE LA COSTANERA
Practice Address - Street 2:
Practice Address - City:LAS TERRENAS
Practice Address - State:SAMANA
Practice Address - Zip Code:99999
Practice Address - Country:DO
Practice Address - Phone:829-534-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care