Provider Demographics
NPI:1578660676
Name:UNIHEALTH MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:UNIHEALTH MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RCVT RCS CCT
Authorized Official - Phone:305-785-1192
Mailing Address - Street 1:7000 SW 62ND AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4716
Mailing Address - Country:US
Mailing Address - Phone:305-665-0585
Mailing Address - Fax:305-662-1359
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-665-0585
Practice Address - Fax:305-662-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000023347246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE2373Medicare ID - Type UnspecifiedIDTF