Organization Active NPI

Evelia F Iglesias MD PA

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1205265667
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME115442 Issued in FL
Legal business name
EVELIA F IGLESIAS MD PA
Practice address
5038 Coronado Pkwy
Naples, FL 34116-6950
Phone
(239) 234-6835
Fax
(954) 239-3902
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Evelia F Iglesias, MD
Title
Medical Director
Phone
(239) 234-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME115442 FL Primary

Addresses

Primary practice location

5038 Coronado Pkwy
Naples, FL 34116-6950

Mailing address

5038 Coronado Pkwy
Naples, FL 34116-6950
Phone (239) 234-6835

Other identifiers 1

IdentifierTypeStateIssuer
008816300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1205265667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6835",
            "fax_number": "954-239-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6835",
            "fax_number": "954-239-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELIA F IGLESIAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "EVELIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-234-6835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME115442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008816300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 6, 2013; 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.