Active NPI
TRC Medical Practices Inc.
- Physical Medicine & Rehabilitation Physician
- Cape Coral, FL
National Provider Identifier
1184126252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- TRC MEDICAL PRACTICES INC.
- Practice address
- 3321 Del Prado Blvd S Ste 3
Cape Coral, FL 33904-7263 - Phone
- (239) 230-2490
- Fax
- (239) 984-8859
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcos Aguilera
- Title
- President
- Phone
- (239) 230-2490
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3321 Del Prado Blvd S Ste 3
Cape Coral, FL 33904-7263
Mailing address
8485 Bird Rd Ste 305
Miami, FL 33155-3262
Phone (786) 294-0811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S2M5M | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
3321 Del Prado Blvd S
Ste 3
Cape Coral, FL 33904
Phone (239) 230-2490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574380800000",
"number": "1184126252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8485 BIRD RD STE 305",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553262",
"telephone_number": "786-294-0811",
"fax_number": "786-362-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3321 DEL PRADO BLVD S STE 3",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339047263",
"telephone_number": "239-230-2490",
"fax_number": "239-984-8859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRC MEDICAL PRACTICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2019-11-22",
"status": "A",
"authorized_official_last_name": "AGUILERA",
"authorized_official_first_name": "MARCOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-230-2490"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "S2M5M",
"state": "FL"
}
],
"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 Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.