Provider Demographics
NPI:1477736296
Name:UNIVERSAL HEALTH PROVIDERS CORP
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH PROVIDERS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-265-8753
Mailing Address - Street 1:7483 CORAL WAY
Mailing Address - Street 2:SUITE #203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1454
Mailing Address - Country:US
Mailing Address - Phone:305-265-8753
Mailing Address - Fax:305-265-8771
Practice Address - Street 1:7483 CORAL WAY
Practice Address - Street 2:SUITE #203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1454
Practice Address - Country:US
Practice Address - Phone:305-265-8753
Practice Address - Fax:305-265-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-15
Last Update Date:2007-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service