MEDICARE: UST SERVICE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1194805614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UST SERVICE CORP

Provider Business Mailing Address
First Line	:	1835 W FLAGLER ST
Second Line	:	SUITE 1
City	:	MIAMI
State	:	FL
Zip	:	33135-1917
Country	:	US
Telephone Number	:	786-470-1800
Fax Number	:	786-470-1801

Provider Business Practice Location Address
First Line	:	1835 W FLAGLER ST
Second Line	:	SUITE 1
City	:	MIAMI
State	:	FL
Zip	:	33135-1917
Country	:	US
Telephone Number	:	786-470-1800
Fax Number	:	786-470-1801

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAUL JUNIOR DIEGO
Credential	:
Telephone Number	:	786-470-1800

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/22/2020

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Directions to “UST SERVICE CORP ” Practice Location

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