Active NPI
Agustin Rodolfo Lopez Leiros, RPH
- Family Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1235574484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11023966
- Practice address
- 1631 Del Prado Blvd S Ste 300
Cape Coral, FL 33990-6740 - Phone
- (786) 577-2018
- Fax
- (786) 957-5158
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47176 | FL | |
| Registered Nurse | 163W00000X | RN9574671 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11023966 | FL | Primary |
Addresses
Primary practice location
1631 Del Prado Blvd S Ste 300
Cape Coral, FL 33990-6740
Mailing address
4102 NW 39TH St
Cape Coral, FL 33993-7853
Phone (786) 577-2018
Other practice location 1
1930 Kings Hwy
Port Charlotte, FL 33980-4214
Phone (941) 764-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9574671 | FL | MD | Registered Nurse |
| PS47176 | FL | MD | Pharmacist |
| APRN11023966 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Sunset Healthcare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Cape Coral, FL
- NPI 1841126729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1235574484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 NW 39TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339937853",
"telephone_number": "786-577-2018",
"fax_number": "786-957-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 DEL PRADO BLVD S STE 300",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339906740",
"telephone_number": "786-577-2018",
"fax_number": "786-957-5158"
}
],
"practiceLocations": [
{
"address_1": "1930 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339804214",
"country_code": "US",
"telephone_number": "941-764-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ LEIROS",
"first_name": "AGUSTIN",
"middle_name": "RODOLFO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47176",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9574671",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11023966",
"primary": true
}
],
"identifiers": [],
"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 Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.