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General NPI Number Information
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NPI Number | 1063616951
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Entity Type | Organization
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Legal Business Name | US MEDICAL HEALTHCARE, INC.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5489 WILES RD UNIT 306
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4217
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Country | US
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Telephone | 954-984-2965
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Fax |
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Provider Business Mailing Address
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Address Line | 5489 WILES RD UNIT 306
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4217
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Country | US
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Telephone | 954-984-2965
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARTIN SANTIAGO
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Credential |
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Telephone | 954-547-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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