Health Medical Ultra Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEALTH MEDICAL ULTRA ALF LLC

Practice address

534 Berkley Rd
Auburndale, FL 33823-3806

Phone

(863) 875-4681

Fax

(836) 623-3007

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Juan L Caparros Gonzalez, MD

Title

Owner

Phone

(939) 235-8227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1306691738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 BERKLEY RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233806",
            "telephone_number": "863-875-4681",
            "fax_number": "836-623-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 BERKLEY RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233806",
            "telephone_number": "863-875-4681",
            "fax_number": "836-623-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MEDICAL ULTRA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "CAPARROS GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-235-8227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.