Organization Active NPI

Mdcare Prowound, PLLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1053139287
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MDCARE PROWOUND, PLLC
Practice address
8823 Tamiami TRL E
Naples, FL 34113-3347
Phone
(239) 383-9260
Fax
(239) 488-1408
NPI assigned
Sep 27, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Dr. Ricardo Alberto Alonso, MDNPI 1548623242
Title
Owner
Phone
(786) 728-0149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8823 Tamiami TRL E
Naples, FL 34113-3347

Mailing address

8823 Tamiami TRL E
Naples, FL 34113-3347
Phone (239) 383-9260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250418002231 FL Part B Supplier - Clinic/Group Practice 7517482805 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

8823 Tamiami Trl E
Naples, FL 34113
Phone (239) 383-9260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1053139287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341133347",
            "telephone_number": "239-383-9260",
            "fax_number": "239-488-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341133347",
            "telephone_number": "239-383-9260",
            "fax_number": "239-488-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCARE PROWOUND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-728-0149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.