Well-being Medical Center Pllc | |
851 5th Ave N Ste 102 Naples FL 34102-5582 | |
(239) 315-7801 | |
(239) 919-8841 |
Full Name | Well-being Medical Center Pllc |
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Speciality | Internal Medicine |
Location | 851 5th Ave N Ste 102, Naples, Florida |
Authorized Official Name and Position | Ricardo Martinez (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2393157801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Well-being Medical Center Pllc 851 5th Ave N Ste 102 Naples FL 34102-5582 Ph: (239) 315-7801 | Well-being Medical Center Pllc 851 5th Ave N Ste 102 Naples FL 34102-5582 Ph: (239) 315-7801 |
NPI Number | 1265075022 |
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Provider Enumeration Date | 10/24/2019 |
Last Update Date | 02/17/2023 |
Medicare PECOS PAC ID | 8921432824 |
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Medicare Enrollment ID | O20191231002182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265075022 | NPI | - | NPPES |
L1428 | Other | FL | MEDICARE |
104729800 | Medicaid | FL | |
ROVYL | Other | FL | BCBS FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ricardo Martinez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003128828 PECOS PAC ID: 2264673532 Enrollment ID: I20130729000918 |
Provider Name | Leydis Cantillo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922632934 PECOS PAC ID: 9638560907 Enrollment ID: I20211221000160 |
Provider Name | Mary Ann Rausch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659149318 PECOS PAC ID: 2163863929 Enrollment ID: I20240509004050 |
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