Provider Demographics
NPI:1326673013
Name:UNIVERSAL INJURY GROUP OF LITTLE HAVANA INC
Entity type:Organization
Organization Name:UNIVERSAL INJURY GROUP OF LITTLE HAVANA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:FIALLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-923-0484
Mailing Address - Street 1:PO BOX 164005
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33116-4005
Mailing Address - Country:US
Mailing Address - Phone:786-224-6711
Mailing Address - Fax:
Practice Address - Street 1:2100 SW 22ND ST STE 504
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2657
Practice Address - Country:US
Practice Address - Phone:786-224-6711
Practice Address - Fax:305-402-7604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:252726
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-03
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty