Medical Central, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MEDICAL CENTRAL, LLC

Practice address

114 Del Prado Blvd S # 100
Cape Coral, FL 33990-1724

Phone

(239) 471-2874

Fax

(239) 330-2919

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Ania Rodriguez

Title

Owner

Phone

(239) 471-2874

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Medical Central LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Central, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1699577734
  NPD tax ID

Locations

Practitioners 5

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

• Sergio Balcazar, MD

  • Psychiatry Physician
  • Miramar, FL
  • NPI 1346295862

  Single Specialty

  Medicare reassignment NPD
• Luis Joaquin Barata Hidalgo, ARNP

  • Family Nurse Practitioner
  • Cape Coral, FL
  • NPI 1811473226
  Medicare reassignment NPD
• Manuel Diaz, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1295014348
  Medicare reassignment NPD
• Roxana P. Cevallos, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1760822811

  Behavior Analyst

  NPD (past)
• Andres Felix Espinosa de Los Monteros

  • Behavior Analyst
  • Miami, FL
  • NPI 1396309142
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1134628951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DEL PRADO BLVD S # 100",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901724",
            "telephone_number": "239-471-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DEL PRADO BLVD S # 100",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901724",
            "telephone_number": "239-471-2874",
            "fax_number": "239-330-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11390 Palm Beach Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339055921",
            "country_code": "US",
            "telephone_number": "239-666-2652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL CENTRAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-471-2874"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.