Active NPI
Luis S Ulloa MD PA
- Internal Medicine Physician
- Jupiter, FL
National Provider Identifier
1487898177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0038283
- Legal business name
- LUIS S ULLOA MD PA
- Practice address
- 601 University Blvd Ste 202
Jupiter, FL 33458-2788 - Phone
- (561) 627-6243
- NPI assigned
- Apr 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gloria Ulloa
- Title
- Office Manager
- Phone
- (561) 627-6243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0038283 | FL | Primary |
Addresses
Primary practice location
601 University Blvd Ste 202
Jupiter, FL 33458-2788
Mailing address
601 University Blvd Ste 202
Jupiter, FL 33458-2788
Phone (561) 627-6243
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240531200000",
"number": "1487898177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 UNIVERSITY BLVD STE 202",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582788",
"telephone_number": "561-627-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 UNIVERSITY BLVD STE 202",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582788",
"telephone_number": "561-627-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS S ULLOA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A",
"authorized_official_last_name": "ULLOA",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "561-627-6243",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0038283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.