Raul Ulloa Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RAUL ULLOA MEDICAL PC

Practice address

6914 41St Ave # C2
Woodside, NY 11377-4028

Phone

(917) 773-2505

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By 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

Bryan Hilario

Title

Administrator

Phone

(917) 773-2505

Specialties & licenses 1

Addresses

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.

• Raul Alberto Ulloa, M.D.

  • Family Medicine Physician
  • Valhalla, NY
  • NPI 1841330107
  NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1447964903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 TENBROECK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695414",
            "telephone_number": "917-773-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 41ST AVE # C2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774028",
            "telephone_number": "917-773-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL ULLOA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "HILARIO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-773-2505"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Ramirez
• Shveta Rana
• Michelle Ranelli, LMSW
• Rapid Drugs Inc
• Raquel A Ras, SOCIAL WORKER
• Melissa Ravera, OTR/L
• Abier Rayan
• Danielle Tracy Reece
• Rehab Synergy PT, PC.
• Erin Lynn Reilly, CCC-SLP

• Family Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.