Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ultra Medical Center, Corp

Organization Family Medicine Physician · NPI 1629028865

Ultra Medical Center, Corp provides Family Medicine Physician services in Miami, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

711 NW 23rd Ave Ste 304
Miami, FL 33125-3298 Not confirmed with CMS for 16 years — call before visiting
Phone: (305) 644-7407
Fax: (305) 644-7408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 136410067 (FL)

Record details

NPI number1629028865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Gonzalez — Owner · (305) 644-7407
NPI enumeratedMay 10, 2006
Last updated in NPPESOctober 26, 2009
Mailing address711 Nw 23rd Ave, Suite 304, Miami, FL 33125-3298

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