Provider Demographics
NPI:1063616951
Name:US MEDICAL HEALTHCARE, INC.
Entity type:Organization
Organization Name:US MEDICAL HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-547-3085
Mailing Address - Street 1:5489 WILES RD
Mailing Address - Street 2:UNIT 306
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4217
Mailing Address - Country:US
Mailing Address - Phone:954-984-2965
Mailing Address - Fax:
Practice Address - Street 1:5489 WILES RD
Practice Address - Street 2:UNIT 306
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4217
Practice Address - Country:US
Practice Address - Phone:954-984-2965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization