Individual provider Active NPI

Ricardo Guzman Matos, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1205570975
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019261 Issued in FL
Practice address
1632 NW 2ND St
Cape Coral, FL 33993-7617
Phone
(305) 846-2348
NPI assigned
Apr 27, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019261 FL Primary

Addresses

Primary practice location

1632 NW 2ND St
Cape Coral, FL 33993-7617

Mailing address

1632 NW 2ND St
Cape Coral, FL 33993-7617
Phone (305) 846-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622003140 FL Practitioner - Nurse Practitioner 9032598966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

525 Pine Island Rd
Suite a
Fort Myers, FL 33903-3720
Phone (239) 984-2399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019261FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David S Ballestas MD PA Single Specialty CurrentSince Aug 9, 2024 Accepting new patients
Axel Health LLC Single Specialty CurrentSince May 15, 2022 Accepting new patients
Best Value Healthcare LLC Single Specialty CurrentSince Jan 19, 2026 Accepting new patients
Best Value Healthcare LLC Single Specialty CurrentSince Jan 19, 2026 Accepting new patients
Medical Pavilion Clinc PastSince Aug 9, 2024 Accepting new patients

Locations

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

2525 Harbor Blvd
Ste 102
Pt Charlotte, FL 33952
Phone (941) 629-7593

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1205570975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 NW 2ND ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937617",
            "telephone_number": "305-846-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 NW 2ND ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937617",
            "telephone_number": "305-846-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN MATOS",
        "first_name": "RICARDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.