Provider Demographics
NPI:1386125359
Name:UDAI HEALTH CARE
Entity type:Organization
Organization Name:UDAI HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:LIZ
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-507-3644
Mailing Address - Street 1:200 CARR. # 2-51, TORRE MEDICA 2
Mailing Address - Street 2:TORRE MEDICA 2 DR PEDRO BLANCO LUGO
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-507-3644
Mailing Address - Fax:
Practice Address - Street 1:200 CARR. # 2-51, TORRE MEDICA 2
Practice Address - Street 2:TORRE MEDICA 2 DR PEDRO BLANCO LUGO
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-507-3644
Practice Address - Fax:787-860-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy