Organization
MEDICAL PRESTIGE SERVICES CORP
Active
Other names
MEDICAL PRESTIGE SERVICES CORP
Organization subpart
No
Provider details
NPI number
Authorized official
YANET HERNANDEZ (CEO)
(305) 733-1450
Entity
Organization
Contact information
Practice address
2816 DEL PRADO BLVD S STE 4, CAPE CORAL, FL 33904-7285
(239) 244-2022
(239) 402-2844
Mailing address
2816 DEL PRADO BLVD S STE 4, CAPE CORAL, FL 33904-7285
(239) 244-2022
(239) 402-2844
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126775600
—
FL
Enumeration date
10/09/2023
Last updated
09/17/2025
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