Organization
TRC MEDICAL PRACTICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS AGUILERA (PRESIDENT)
(239) 230-2490
Entity
Organization
Contact information
Practice address
3321 DEL PRADO BLVD S STE 3, CAPE CORAL, FL 33904-7263
(239) 230-2490
(239) 984-8859
Mailing address
8485 BIRD RD STE 305, MIAMI, FL 33155-3262
(786) 294-0811
(786) 362-5244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2M5M
BCBS
FL
Enumeration date
03/05/2018
Last updated
11/22/2019
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