MEDICARE: SONIA JIMENEZ ULLOA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1467396226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA JIMENEZ ULLOA

Provider Business Mailing Address
First Line	:	12484 SW 42 STREET
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027
Country	:	US
Telephone Number	:	786-301-7181
Fax Number	:	305-974-5326

Provider Business Practice Location Address
First Line	:	12484 SW 42ND ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-6002
Country	:	US
Telephone Number	:	786-301-7181
Fax Number	:	305-974-5326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ SONIA JIMENEZ ULLOA ” Practice Location

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