Organization Active NPI

TRC Medical Practices Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
National Provider Identifier
1184126252
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Nov 22, 2019

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
S2M5MOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.