Ultra Wellness Services Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ULTRA WELLNESS SERVICES INC

Practice address

2460 SW 137TH Ave
Ste 243
Miami, FL 33175-8803

Phone

(305) 924-8149

Fax

(305) 551-1121

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Soledad Medina

Title

President

Phone

(305) 924-8149

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1568847788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE",
            "address_2": "STE 243",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758803",
            "telephone_number": "305-924-8149",
            "fax_number": "305-551-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE",
            "address_2": "STE 243",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758803",
            "telephone_number": "305-924-8149",
            "fax_number": "305-551-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "SOLEDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-924-8149"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Um Distributor Corp
• Um Distributor Corp

• Rehabilitation Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.