HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
NPI 1942829536
Family Medicine - Adult Medicine in Winter Haven, FL

Q: What is Health Medical Ultra Limited Liability Company's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since April 13, 2020

2402 LAKE DR NW, WINTER HAVEN, FL 33881(863) 662-3007(863) 875-4681 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, Sep 18, 2020, Jul 30, 2020 and 2 more (5 updates tracked since 2020).

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About Health Medical Ultra Limited Liability Company NPPES

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

HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY (NPI 1942829536) is a healthcare organization registered as an adult medicine in Winter Haven, Florida and active in the NPI registry since April 2020. The organization lists Maria I Diez, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1942829536

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameHEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY

Location Address2402 LAKE DR NWWinter Haven, FL 33881-5008

Mailing Address2402 Lake Dr NwWinter Haven, FL 33881-5008 · (863) 662-3007 · Fax (863) 875-4681

Phone(863) 662-3007

Fax(863) 875-4681

Organization SubpartNo

Authorized OfficialMaria I DiezCredentialing Manager · (786) 399-5995

Enumeration DateApril 13, 2020

Last NPPES UpdateMay 28, 20265 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1942829536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

2402 LAKE DR NW, Winter Haven, FL 33881

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Other Identifiers 1

Medicaid100166000FL

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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)

Health Medical Ultra Limited Liability Company 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 Health Medical Ultra Limited Liability Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Juan Caparros Gonzales, M.D.

General Practice

NPI 1801991054

1760 HAVENDALE BLVD NW
Winter Haven, FL 33881

(863) 662-3007

✔ PECOS✔ Accepts Medicare1.4 mi

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

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 Health Medical Ultra Limited Liability Company's NPI number?

The NPI number for Health Medical Ultra Limited Liability Company is 1942829536. It was assigned to this organization in the NPPES registry on April 13, 2020.

Where is Health Medical Ultra Limited Liability Company located?

Health Medical Ultra Limited Liability Company is located at 2402 Lake Dr NW, Winter Haven, FL 33881. The listed phone number is (863) 662-3007.

What is Health Medical Ultra Limited Liability Company's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Health Medical Ultra Limited Liability Company enrolled in Medicare?

Yes. Health Medical Ultra Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Medical Ultra Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Health Medical Ultra Limited Liability Company. 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 Health Medical Ultra Limited Liability Company accept?

Health plans from Ambetter Health and Ambetter of Alabama list Health Medical Ultra Limited Liability Company 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 Health Medical Ultra Limited Liability Company was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.