Provider Demographics
NPI:1831871078
Name:SAINT LOUIS, URSULE (RRT)
Entity type:Individual
Prefix:
First Name:URSULE
Middle Name:
Last Name:SAINT LOUIS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9930 NW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1347
Mailing Address - Country:US
Mailing Address - Phone:305-746-9392
Mailing Address - Fax:786-353-2072
Practice Address - Street 1:9930 NW 26TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1347
Practice Address - Country:US
Practice Address - Phone:305-746-9392
Practice Address - Fax:786-353-2072
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT11726227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty