| Universal Health Community Service Llc | |
|
8551 Nw South River Dr Medley FL 33166-7426 | |
| (305) 603-9344 | |
| (305) 631-2180 |
| Full Name | Universal Health Community Service Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8551 Nw South River Dr, Medley, Florida |
| Authorized Official Name and Position | Jairo Alfonso Villamizar Pardo (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7869618512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Health Community Service Llc 8551 Nw South River Dr Medley FL 33166-7426 Ph: (305) 603-9344 | Universal Health Community Service Llc 8551 Nw South River Dr Medley FL 33166-7426 Ph: (305) 603-9344 |
| NPI Number | 1740045236 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Medicare PECOS PAC ID | 1557892114 |
|---|---|
| Medicare Enrollment ID | O20241007002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740045236 | NPI | - | NPPES |
| Provider Name | Sander Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922394485 PECOS PAC ID: 7618197161 Enrollment ID: I20171006000397 |
| Provider Name | Mayelin Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790220911 PECOS PAC ID: 4688067648 Enrollment ID: I20220215002658 |
| Provider Name | Arturo Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922551589 PECOS PAC ID: 9436599701 Enrollment ID: I20240503000488 |
| Provider Name | Maria L Gonzalez Ibarra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659794998 PECOS PAC ID: 1759829765 Enrollment ID: I20240821001181 |
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