Provider Demographics
NPI:1922442144
Name:ULTRASOUND CARE SPECIALIST, INC.
Entity Type:Organization
Organization Name:ULTRASOUND CARE SPECIALIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS OB/GYN
Authorized Official - Phone:407-729-2594
Mailing Address - Street 1:2043 DERBY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-8029
Mailing Address - Country:US
Mailing Address - Phone:407-729-2594
Mailing Address - Fax:
Practice Address - Street 1:8803 FUTURES DR
Practice Address - Street 2:SUITE 12 - UNIT #105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9076
Practice Address - Country:US
Practice Address - Phone:407-729-2594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty