Provider Demographics
NPI:1669201257
Name:UNITED CRITICAL CARE SERVICES
Entity type:Organization
Organization Name:UNITED CRITICAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:AQUINO JOSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-390-9212
Mailing Address - Street 1:11 AVE LAS MANSIONES
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4586
Mailing Address - Country:US
Mailing Address - Phone:787-390-9212
Mailing Address - Fax:
Practice Address - Street 1:URB. LA HACIENDA, AVE. PEDRO ALBIZU CAMPOS
Practice Address - Street 2:ESQUINA PRINCIPAL
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-0011
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty