NPIMap

Organization Active NPI

Health Medical Ultra Limited Liability Company

  • Adult Medicine Physician
  • Polk City, FL
National Provider Identifier
1528992872
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
Practice address
116 Commonwealth Ave SW
Polk City, FL 33868
Phone
(863) 662-3007
Fax
(863) 875-4681
NPI assigned
Jun 11, 2026
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Juan L Caparros Gonzalez, MDNPI 1801991054
Title
President
Phone
(863) 662-3007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Adult Medicine Physician 207QA0505X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

116 Commonwealth Ave SW
Polk City, FL 33868

Mailing address

2402 Lake Dr NW
Winter Haven, FL 33881-5008
Phone (863) 662-3007

National Provider Directory

National Provider Directory
Tax ID family
Health Medical Ultra2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1528992872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 LAKE DR NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815008",
            "telephone_number": "863-662-3007",
            "fax_number": "863-875-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COMMONWEALTH AVE SW",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "33868",
            "telephone_number": "863-662-3007",
            "fax_number": "863-875-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CAPARROS GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-662-3007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.