Organization Active NPI

Ultimate HMD, LLC

  • Exclusive Provider Organization
  • Virginia Gardens, FL
National Provider Identifier
1790955425
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ULTIMATE HMD, LLC
Practice address
6355 NW 36TH St
Suite # 604
Virginia Gardens, FL 33166-7027
Phone
(305) 492-2233
Fax
(305) 492-2255
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Jorge Recarey
Title
Chief Executive Officer
Phone
(305) 492-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

6355 NW 36TH St
Suite # 604
Virginia Gardens, FL 33166-7027

Mailing address

6355 NW 36TH St
Suite # 604
Virginia Gardens, FL 33166-7027
Phone (305) 492-2233

National Provider Directory

National Provider Directory

Locations

6355 NW 36th St
Ste 604
Virginia Gardens, FL 33166
Phone (305) 492-2233

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1790955425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "SUITE # 604",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667027",
            "telephone_number": "305-492-2233",
            "fax_number": "305-492-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "SUITE # 604",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667027",
            "telephone_number": "305-492-2233",
            "fax_number": "305-492-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "RECAREY",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-492-2233"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.