Organization Active NPI

Hispanic Health Enterprises LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1124450077
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HISPANIC HEALTH ENTERPRISES LLC
Practice address
4990 Golden Gate Pkwy
Naples, FL 34116-6962
Phone
(239) 692-8309
Fax
(239) 692-8504
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Tabare D Tabar, P.A.NPI 1891730008
Title
President
Phone
(239) 331-9610

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X

Addresses

Primary practice location

4990 Golden Gate Pkwy
Naples, FL 34116-6962

Mailing address

4990 Golden Gate Pkwy
Naples, FL 34116-6962
Phone (239) 692-8309

Other practice location 1

11550 Tamiami Trl E
Naples, FL 34113-7906
Phone (239) 529-3045

Other practice location 2

80 Wilson Blvd S Ste 11
Naples, FL 34117-9386
Phone (239) 692-8309

Other practice location 3

1154 Lee Blvd Ste 4
Lehigh Acres, FL 33936-4852
Phone (239) 692-8309

Other names 1

  • Clinica Hispana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818001805 FL Part B Supplier - Clinic/Group Practice 5395962195 Receives reassigned benefits from 8 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2336212Hispanic Health Enterprises LLC80 Wilson Blvd Ste 11, Naples, FL 34117Certificate of waiverDec 28, 2027
10D2338203Hispanic Health Enterprises, LLC1154 Lee Blvd, Suite 4, Lehigh Acres, FL 33936Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

4990 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 692-8309

11550 Tamiami Trl E
Naples, FL 34113
Phone (239) 529-3045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9587/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1124450077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166962",
            "telephone_number": "239-692-8309",
            "fax_number": "239-692-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166962",
            "telephone_number": "239-692-8309",
            "fax_number": "239-692-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11550 Tamiami Trl E",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137906",
            "country_code": "US",
            "telephone_number": "239-529-3045",
            "fax_number": "239-529-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Wilson Blvd S Ste 11",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341179386",
            "country_code": "US",
            "telephone_number": "239-692-8309",
            "fax_number": "239-692-8504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1154 Lee Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339364852",
            "country_code": "US",
            "telephone_number": "239-692-8309",
            "fax_number": "239-692-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HISPANIC HEALTH ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "TABAR",
        "authorized_official_first_name": "TABARE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-331-9610",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Hispana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.