Universal Primary Care & Aesthetics, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

UNIVERSAL PRIMARY CARE & AESTHETICS, LLC

Practice address

105 Central Ave Ste 200a
Goose Creek, SC 29445-3084

Phone

(843) 557-9808

Fax

(843) 273-8144

NPI assigned

Mar 19, 2020

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gutembergue Arruda Santos, DNPNPI 1942794250

Title

Family Nurse Practitioner

Phone

(843) 557-9808

Specialties & licenses 1

Addresses

Other names 1

• Universal Primary Care & Aesthetics Former legal business name

Electronic endpoints 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: bergsantos@direct.practicefusion.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gutembergue Arruda Santos, DNP-FNP

  • Family Nurse Practitioner
  • Goose Creek, SC
  • NPI 1942794250
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1366078420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE STE 200A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453087",
            "telephone_number": "843-557-9808",
            "fax_number": "843-273-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE STE 200A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453084",
            "telephone_number": "843-557-9808",
            "fax_number": "843-273-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PRIMARY CARE & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "GUTEMBERGUE",
        "authorized_official_middle_name": "ARRUDA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "843-557-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bergsantos@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR direct messagin",
            "address_1": "3516 S Live Oak Dr Unit F",
            "city": "Moncks Corner",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294618762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bergsantos@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR direct messaging",
            "address_1": "105 Central Ave Ste 200A",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294453087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bergsantos@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Central Ave Ste 200A",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294453084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Universal Primary Care & Aesthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Universal Primary Care & Aesthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anna Harper Tucker, MD
• William Martin Tucker III, MD
• Richard Emmanuel Tuzon
• Carolyn Underhill, ORT/L
• Donna Michelle Unger, PHARM D
• Universal Program of Recovery LLC
• Untouchable Hands Home Care LLC
• Andrew Luis Urrechaga Quick, DC
• Melissa Vagts, CCC-SLP
• Cynthia Caughman Vannoy, PT

• Family Nurse Practitioner in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.