Active NPI
Ariel Vega
- Other Technician
- Cape Coral, FL
National Provider Identifier
1003195561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- MA 63385
- Practice address
- 618 SW 3Rd St
Cape Coral, FL 33991-1985 - Phone
- (239) 242-2202
- Fax
- (239) 242-2220
- NPI assigned
- Aug 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MA 63385 | FL | Primary |
Addresses
Primary practice location
618 SW 3Rd St
Cape Coral, FL 33991-1985
Mailing address
618 SW 3Rd St
Cape Coral, FL 33991-1985
Phone (239) 242-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 63385 | FL | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee County Care Center LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Cape Coral, FL
- NPI 1770862252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1003195561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 SW 3RD ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339911985",
"telephone_number": "239-242-2202",
"fax_number": "239-242-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 SW 3RD ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339911985",
"telephone_number": "239-242-2202",
"fax_number": "239-242-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "ARIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "MA 63385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.