Mauricio Tejada Valencia, APRN | |
1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 | |
(239) 458-3338 | |
(239) 458-0666 |
Full Name | Mauricio Tejada Valencia |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 1528 Del Prado Blvd S, 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 |
---|---|---|---|
1053091371 | NPI | - | NPPES |
119475500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 11026534 (Florida) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | APRN11026534 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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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 |
---|---|
Mauricio Tejada Valencia, APRN 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Mauricio Tejada Valencia, APRN 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 Ph: (239) 458-3338 |
Yamell Martin Perez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Se 21st Ter, Cape Coral, FL 33990 Phone: 239-888-0508 | |
Diana Acosta Romero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904 Phone: 239-317-0265 Fax: 239-673-7681 | |
Zunia Garcia Padron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Nw 17th St, Cape Coral, FL 33993 Phone: 239-245-0010 | |
Haney Sosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 Nw 20th St, Cape Coral, FL 33993 Phone: 239-308-8918 | |
Kelsie Phillips, Nurse Practitioner 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 | |
Nadeige Sylvie Jean-jules, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 737 Cape Coral Pkwy E, Cape Coral, FL 33904 Phone: 239-542-0512 |