Ultra Medical Center, Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

136410067 Issued in FL

Legal business name

ULTRA MEDICAL CENTER, CORP

Practice address

711 NW 23Rd Ave
Suite 304
Miami, FL 33125-3298

Phone

(305) 644-7407

Fax

(305) 644-7408

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Jose N Gonzalez, M.DNPI 1679536189

Title

Owner

Phone

(305) 644-7407

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.

• Jose Noel Gonzalez, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1679536189

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1629028865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253298",
            "telephone_number": "305-644-7407",
            "fax_number": "305-644-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 23RD AVE",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253298",
            "telephone_number": "305-644-7407",
            "fax_number": "305-644-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-644-7407",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "136410067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultra Care Diagnostic Corp
• Ultra Care Medical Centers LLC
• Ultra Dental Care
• Ultra Health Care of Miami LLC
• Ultra Line Corp.
• Ultra Pharmacy Discount Inc
• Ultra Testing Inc
• Ultra Wellness Services Inc
• Ultramar Services LLC
• Ultrasound Imaging Services, Inc

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.