| Medical Central, Llc | |
|
114 Del Prado Blvd S # 100 Cape Coral FL 33990-1724 | |
| (239) 471-2874 | |
| (239) 330-2919 |
| Full Name | Medical Central, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Del Prado Blvd S # 100, Cape Coral, Florida |
| Authorized Official Name and Position | Ania Rodriguez (OWNER) |
| Authorized Official Contact | 2394712874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Central, Llc 114 Del Prado Blvd S # 100 Cape Coral FL 33990-1724 Ph: (239) 471-2874 | Medical Central, Llc 114 Del Prado Blvd S # 100 Cape Coral FL 33990-1724 Ph: (239) 471-2874 |
| NPI Number | 1134628951 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 9537403001 |
|---|---|
| Medicare Enrollment ID | O20181211000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134628951 | NPI | - | NPPES |
| Provider Name | Sergio Balcazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346295862 PECOS PAC ID: 0345243119 Enrollment ID: I20060816000440 |
| Provider Name | Manuel Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295014348 PECOS PAC ID: 3678792967 Enrollment ID: I20140918001658 |
| Provider Name | Luis J Barata Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811473226 PECOS PAC ID: 6002156692 Enrollment ID: I20190318002216 |
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