| Clinica Medica Camaguey Primary Care LLC | |
|
1260 Ne 8th St Ste 109 Cape Coral FL 33909-3169 | |
| (602) 748-0586 | |
| Not Available |
| Full Name | Clinica Medica Camaguey Primary Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1260 Ne 8th St Ste 109, Cape Coral, Florida |
| Authorized Official Name and Position | Yankier Hernandez Gonzalez (OWNER) |
| Authorized Official Contact | 6027480586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Camaguey Primary Care LLC 406 Se 6th Ter Cape Coral FL 33990-1566 Ph: (602) 748-0586 | Clinica Medica Camaguey Primary Care LLC 1260 Ne 8th St Ste 109 Cape Coral FL 33909-3169 Ph: (602) 748-0586 |
| NPI Number | 1568259299 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Medicare PECOS PAC ID | 0244759629 |
|---|---|
| Medicare Enrollment ID | O20250914000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568259299 | NPI | - | NPPES |
| 1841214996 | Other | FL | ASSOCIATED PHYSICIAN NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Jesus Rodriguez Blanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841214996 PECOS PAC ID: 7214834381 Enrollment ID: I20250914000106 |
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