Provider Demographics
NPI:1700098522
Name:UBIETA HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:UBIETA HEALTH SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DON PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:UBIETA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-969-4511
Mailing Address - Street 1:13931 SW 140TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5524
Mailing Address - Country:US
Mailing Address - Phone:305-969-4511
Mailing Address - Fax:305-969-7170
Practice Address - Street 1:13931 SW 140TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5524
Practice Address - Country:US
Practice Address - Phone:305-969-4511
Practice Address - Fax:305-969-7170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992684251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299992684OtherHOME HEALTH AGENCY LICENS