Healthcare Provider Details

I. General information

NPI: 1881344869
Provider Name (Legal Business Name): UNIKE PPEC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18950 SW 106TH AVE STE 120
MIAMI FL
33157-7699
US

IV. Provider business mailing address

18950 SW 106TH AVE
MIAMI FL
33157-7696
US

V. Phone/Fax

Practice location:
  • Phone: 305-614-1230
  • Fax: 305-503-9624
Mailing address:
  • Phone: 305-614-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: JOSE S RIVERO GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 786-226-4766