Organization
DEL PRADO MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY MARTINEZ (OWNER/PRESIDENT)
(239) 772-1194
Entity
Organization
Contact information
Practice address
2500 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5750
(239) 772-1194
(239) 772-1196
Mailing address
2500 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5750
(239) 772-1194
(239) 772-1196
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022008300
—
FL
05
—
022008301
—
FL
01
—
BD041
MEDICARE
FL
Enumeration date
10/03/2008
Last updated
07/29/2024
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