Provider Demographics
NPI:1720546898
Name:UNIVERSAL ORTHO SUPPLIES INC
Entity Type:Organization
Organization Name:UNIVERSAL ORTHO SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PEREZ GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-250-5622
Mailing Address - Street 1:13255 SW 137TH AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5327
Mailing Address - Country:US
Mailing Address - Phone:786-250-5622
Mailing Address - Fax:786-250-5723
Practice Address - Street 1:13255 SW 137TH AVE STE 108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5327
Practice Address - Country:US
Practice Address - Phone:786-250-5622
Practice Address - Fax:786-250-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies