Provider Demographics
NPI:1891261319
Name:UNITED PHYSICIANS SOLUTIONS
Entity Type:Organization
Organization Name:UNITED PHYSICIANS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-903-9000
Mailing Address - Street 1:460 LEUCADENDRA DR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2330
Mailing Address - Country:US
Mailing Address - Phone:305-903-9000
Mailing Address - Fax:
Practice Address - Street 1:460 LEUCADENDRA DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33156-2330
Practice Address - Country:US
Practice Address - Phone:305-903-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization