ULTIMATE MEDICAL CENTER & SPA LLC
NPI 1023663259
General Practice in Miami, FL

Active since August 05, 2019
12700 SW 128TH ST STE 205, MIAMI, FL 33186(305) 278-7579(305) 278-7589 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ultimate Medical Center & Spa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ULTIMATE MEDICAL CENTER & SPA LLC (NPI 1023663259) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since August 2019. The organization lists Caridad Fonte Estevez, Owner, as its authorized official.

NPPES Registry Identity

NPI1023663259
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameULTIMATE MEDICAL CENTER & SPA LLC
Location Address12700 SW 128TH ST STE 205Miami, FL 33186-5378
Mailing Address12700 Sw 128th St Ste 205Miami, FL 33186-5378 · (305) 278-7579 · Fax (305) 278-7589
Fax(305) 278-7589
Organization SubpartNo
Authorized OfficialCaridad Fonte EstevezOwner · (305) 278-7579
Enumeration DateAugust 5, 2019
✔ NPI 1023663259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12700 SW 128TH ST STE 205, Miami, FL 33186

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ultimate Medical Center & Spa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ultimate Medical Center & Spa LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1336120708
8000 W FLAGLER ST STE 206
Miami, FL 33144
(786) 703-1620
✔ PECOS✔ Accepts Medicare9.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2172743

Ultimate Medical Center & Spa, LLC · Miami, FL
Expired · Oct 9, 2026
CLIA Number10D2172743
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorGuillermo Alonso
Laboratory Phone(305) 278-7579
Laboratory LocationUltimate Medical Center & Spa, LLC12700 SW 128th St Ste 205, Miami, FL 33186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ultimate Medical Center & Spa LLC's NPI number?

The NPI number for Ultimate Medical Center & Spa LLC is 1023663259. It was assigned to this organization in the NPPES registry on August 5, 2019.

Where is Ultimate Medical Center & Spa LLC located?

Ultimate Medical Center & Spa LLC is located at 12700 SW 128th St Ste 205, Miami, FL 33186. The listed phone number is (305) 278-7579.

What is Ultimate Medical Center & Spa LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ultimate Medical Center & Spa LLC enrolled in Medicare?

Yes. Ultimate Medical Center & Spa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ultimate Medical Center & Spa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ultimate Medical Center & Spa LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ultimate Medical Center & Spa LLC accept?

Health plans from AmeriHealth Caritas Next list Ultimate Medical Center & Spa LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ultimate Medical Center & Spa LLC was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.