Provider Demographics
NPI:1447403258
Name:UNITED MANAGEMENT NETWORK INC
Entity Type:Organization
Organization Name:UNITED MANAGEMENT NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-340-7211
Mailing Address - Street 1:9737 NW 41ST ST
Mailing Address - Street 2:SUITE 360
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2924
Mailing Address - Country:US
Mailing Address - Phone:786-340-7211
Mailing Address - Fax:
Practice Address - Street 1:9737 NW 41ST ST
Practice Address - Street 2:SUITE 360
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2924
Practice Address - Country:US
Practice Address - Phone:786-340-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66843207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF90053Medicare UPIN