Individual provider Active NPI

Martin Francisco Aguero, MD

  • General Practice Physician
  • Port Charlotte, FL
National Provider Identifier
1003302290
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1219 Issued in FL
Practice address
18700 Veterans Blvd Unit 9
Port Charlotte, FL 33954-1037
Phone
(941) 263-1776
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21056 PR
General Practice Physician 208D00000X ACN1219 FL Primary

Addresses

Primary practice location

18700 Veterans Blvd Unit 9
Port Charlotte, FL 33954-1037

Mailing address

24013 Madaca LN Unit 104
Port Charlotte, FL 33954-2807
Phone (939) 242-5987

Other practice location 1

938 N Mills Ave
Arcadia, FL 34266-8780
Phone (863) 417-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123002996 FL Practitioner - General Practice 5890024020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3005 Caring Way
Suite 3
Port Charlotte, FL 33952-5304
Phone (863) 417-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1219FLMDGeneral Practice Physician
21056PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jon I Levin DO PA General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1003302290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24013 MADACA LN UNIT 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542807",
            "telephone_number": "939-242-5987",
            "fax_number": "863-884-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 VETERANS BLVD UNIT 9",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541037",
            "telephone_number": "941-263-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668780",
            "country_code": "US",
            "telephone_number": "863-417-7117",
            "fax_number": "863-884-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUERO",
        "first_name": "MARTIN",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21056",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.