| Nh Medical Institute Llc | |
|
1425 Viscaya Pkwy Ste 205 Cape Coral FL 33990-3294 | |
| (239) 471-7407 | |
| Not Available |
| Full Name | Nh Medical Institute Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 Viscaya Pkwy Ste 205, Cape Coral, Florida |
| Authorized Official Name and Position | Yenis Torres- Niebla (CEO) |
| Authorized Official Contact | 7863983427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nh Medical Institute Llc 1425 Viscaya Pkwy Ste 205 Cape Coral FL 33990-3294 Ph: (239) 471-7407 | Nh Medical Institute Llc 1425 Viscaya Pkwy Ste 205 Cape Coral FL 33990-3294 Ph: (239) 471-7407 |
| NPI Number | 1518684166 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 3577927243 |
|---|---|
| Medicare Enrollment ID | O20230913003266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518684166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Yordan Orive Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255872578 PECOS PAC ID: 0143650366 Enrollment ID: I20200430000643 |
| Provider Name | Marialy Rodriguez Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043804008 PECOS PAC ID: 3577979665 Enrollment ID: I20210316001213 |
| Provider Name | Yamell Martin Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003404369 PECOS PAC ID: 5092113472 Enrollment ID: I20211015001160 |
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