Provider Demographics
NPI:1194805614
Name:UST SERVICE CORP
Entity type:Organization
Organization Name:UST SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:JUNIOR
Authorized Official - Last Name:DIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-470-1800
Mailing Address - Street 1:1835 W FLAGLER ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1917
Mailing Address - Country:US
Mailing Address - Phone:786-470-1800
Mailing Address - Fax:786-470-1801
Practice Address - Street 1:1835 W FLAGLER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1917
Practice Address - Country:US
Practice Address - Phone:786-470-1800
Practice Address - Fax:786-470-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies