Organization Active NPI

Universal Sa Corp.

  • Preferred Provider Organization
  • Coral Gables, FL
National Provider Identifier
1700024015
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
UNIVERSAL SA CORP.
Practice address
2520 SW 22ND St
Suite 2-070
Coral Gables, FL 33145-3438
Phone
(305) 513-5752
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Alex Pontigo
Title
President
Phone
(305) 513-5752

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X FL
Preferred Provider Organization 305R00000X FL Primary

Addresses

Primary practice location

2520 SW 22ND St
Suite 2-070
Coral Gables, FL 33145-3438

Mailing address

2520 SW 22ND St
Suite 2-070
Coral Gables, FL 33145-3438
Phone (305) 513-5752

National Provider Directory

National Provider Directory

Locations

2520 SW 22nd St
Ste 2070
Coral Gables, FL 33145
Phone (305) 513-5752

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1700024015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SW 22ND ST",
            "address_2": "SUITE 2-070",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453438",
            "telephone_number": "305-513-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SW 22ND ST",
            "address_2": "SUITE 2-070",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453438",
            "telephone_number": "305-513-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL SA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "PONTIGO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-513-5752"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.