Ultra Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ULTRA MEDICAL LLC

Practice address

10350 Pines Blvd Ste D103
Pembroke Pines, FL 33026-6051

Phone

(754) 210-2460

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo Infante

Title

VP Operations

Phone

(754) 210-2460

Specialties & licenses 1

Addresses

Other names 1

• Ultra Medical LLC Former legal business name

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angel Ricardo Mesa, MD

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1477761898
  Medicare reassignment NPD
• Joseph Jude Evens Vincent, FNP-BC

  • Family Nurse Practitioner
  • Margate, FL
  • NPI 1568876191
  Medicare reassignment NPD
• Alvaro Gordo, MD

  • Obstetrics & Gynecology Physician
  • Miami Lakes, FL
  • NPI 1518947092
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1972133163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 PINES BLVD STE D103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266051",
            "telephone_number": "754-210-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 PINES BLVD STE D103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266051",
            "telephone_number": "754-210-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "754-210-2460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Uamedsupply
• Elena Ugas, M.S
• Marta Uhlyar, APRN
• Linda Uhunmwangho, ARNP
• Boby Ukken, APRN
• Howard W Umansky, DPM
• Jacqueline Umejei
• Umpa of South Florida Inc
• Unbound Psychotherapy
• Unchained Brain LLC

• Primary Care Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.