Health Medical Ultra Limited Liability Company

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY

Practice address

2402 Lake Dr NW
Winter Haven, FL 33881-5008

Phone

(863) 662-3007

Fax

(863) 875-4681

NPI assigned

Apr 13, 2020

Last updated

May 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria I Diez

Title

Credentialing Manager

Phone

(786) 399-5995

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Health Medical Ultra Limited Liability Company

  • Adult Medicine Physician
  • Polk City, FL
  • NPI 1528992872
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Health Medical Ultra Limited Liability Company

  • Adult Medicine Physician
  • Polk City, FL
  • NPI 1528992872
  NPPES parent name

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.

• Juan L Caparros Gonzalez, M.D.

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1801991054
  Medicare reassignment NPD

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1942829536",
    "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": "2402 LAKE DR NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815008",
            "telephone_number": "863-662-3007",
            "fax_number": "863-875-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DIEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "786-399-5995"
    },
    "taxonomies": [
        {
            "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
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kali Constanza Hawkins, PA-C
• Tenesia Hawthorne
• HB3 Beauty Luxe
• Healing Counseling Solutions LLC
• Health Holdings Company LLC (Palm Medical Centers Winter Haven)
• Douglas Healy
• Hearing Consultants
• Claude A Hearn, DMD, P.A.
• Heart of Gold Senior Services
• Heartland Community Church, Inc. (Heartland Counseling Center)

• Adult Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.