Healthcare Provider Details

I. General information

NPI: 1609515337
Provider Name (Legal Business Name): UTILIZATION & MEDICAL HEALTHCARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 688 BO SABANA 377
VEGA ALTA PR
00692
US

IV. Provider business mailing address

43 CALLE REAL PALM DR
VEGA ALTA PR
00692-9014
US

V. Phone/Fax

Practice location:
  • Phone: 787-318-3395
  • Fax:
Mailing address:
  • Phone: 787-318-3395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OSCAR OLIVER
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-318-3395