UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC NPI 1215959184

NPI Information

NPI: 1215959184
Provider Name: UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D1058055

Address:
18004 NW 6TH ST STE 101
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 433-9400
Get Directions

UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC is an end-stage renal disease (esrd) treatment clinic center in Pembroke Pines, FL. UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC NPI is 1215959184. The provider is registered as an organization entity type.

The provider's business location address is:

18004 NW 6TH ST STE 101
PEMBROKE PINES, FL
ZIP 33029-823
Phone: (954) 433-9400

The provider's authorized official is Elmo Angelo V. Bartolome .
The authorized official title is President and has the following contact phone number (954) 770-6540.

The CLIA number assigned to this NPI record is 10D1058055 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 2/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102841	MEDICARE OSCAR/CERTIFICATION	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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