NPIMap

Organization Active NPI

Medical Prestige Services Corp

  • Psychiatry Physician
  • Cape Coral, FL
National Provider Identifier
1194506071
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MEDICAL PRESTIGE SERVICES CORP
Practice address
2002 Del Prado Blvd S Ste 103
Cape Coral, FL 33990-4557
Phone
(239) 244-2022
Fax
(239) 402-2844
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Yanet HernandezNPI 1225697923
Title
Owner
Phone
(305) 733-1450

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
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2002 Del Prado Blvd S Ste 103
Cape Coral, FL 33990-4557

Mailing address

2002 Del Prado Blvd S Ste 103
Cape Coral, FL 33990-4557
Phone (239) 244-2022

Other identifiers 1

IdentifierTypeStateIssuer
126775600MedicaidFL

Other names 1

  • MEDICAL PRESTIGE SERVICES CORP Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210004155 FL Part B Supplier - Clinic/Group Practice 1153857479 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

2816 Del Prado Blvd S
Ste 4
Cape Coral, FL 33904
Phone (239) 244-2022

Practitioners & affiliated clinicians

Practitioners 5

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": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1194506071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 DEL PRADO BLVD S STE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904557",
            "telephone_number": "239-244-2022",
            "fax_number": "239-402-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 DEL PRADO BLVD S STE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904557",
            "telephone_number": "239-244-2022",
            "fax_number": "239-402-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRESTIGE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-733-1450"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126775600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PRESTIGE SERVICES CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 28, 2026; 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.