Provider Demographics
NPI:1023279619
Name:UNIVERSAL HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:UNIVERSAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-385-6806
Mailing Address - Street 1:11980 SW 144TH CT
Mailing Address - Street 2:STE 109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8601
Mailing Address - Country:US
Mailing Address - Phone:305-385-6808
Mailing Address - Fax:
Practice Address - Street 1:11980 SW 144TH CT
Practice Address - Street 2:STE 109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8601
Practice Address - Country:US
Practice Address - Phone:305-385-6808
Practice Address - Fax:305-385-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992706251B00000X, 251E00000X
FL29992706251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299992706OtherAHCA LICENSE 299992706