Jesus Ernesto Diaz Regalado, | |
507 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | |
(239) 541-4420 | |
(239) 468-7908 |
Full Name | Jesus Ernesto Diaz Regalado |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 507 Cape Coral Pkwy E, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396373569 | NPI | - | NPPES |
119274900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME163782 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
---|---|
Jesus Ernesto Diaz Regalado, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (395) 414-4202 | Jesus Ernesto Diaz Regalado, 507 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 Ph: (239) 541-4420 |
Marshall D'souza, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 Del Prado Blvd N, Ste. 104, Cape Coral, FL 33909 Phone: 239-939-2200 Fax: 239-939-2204 | |
Dr. Russell L. Robinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 316 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-314-1616 Fax: 239-479-5202 | |
Dr. Preeth Kada Sundaran, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990 Phone: 239-424-3660 Fax: 239-424-3663 | |
Ambar Marie Morales-rodriguez, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1138 Country Club Blvd, Cape Coral, FL 33990 Phone: 239-424-1900 Fax: 239-424-1904 | |
Jack Clark, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1528 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-458-3338 Fax: 239-458-0666 | |
Dr. William Richard Porter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 709 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451 | |
Dr. Stephen Ross Dreznin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3123 Fax: 239-424-4041 |