Organization Active NPI

Alberto F Vera PA

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1255619615
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME101375 Issued in FL
Legal business name
ALBERTO F VERA PA
Practice address
1048 Goodlette Rd N
Unit 102
Naples, FL 34102-5491
Phone
(239) 692-8719
Fax
(239) 692-8856
NPI assigned
Aug 2, 2011
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Alberto F Vera, M.D.NPI 1497916910
Title
President
Phone
(239) 692-8484

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME101375 FL Primary

Addresses

Primary practice location

1048 Goodlette Rd N
Unit 102
Naples, FL 34102-5491

Mailing address

PO Box 7518
Fort Myers, FL 33911-7518

Other identifiers 2

IdentifierTypeStateIssuer
DS2418OtherFLRAILROAD PTAN
000094400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000251 FL Part B Supplier - Clinic/Group Practice 2860664133 Receives reassigned benefits from 2 practitioners
Practice locations: Bonita Springs, FL; Estero, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

3302 Bonita Beach Rd
Ste 17
Bonita Springs, FL 34134

15275 Collier Blvd
Naples, FL 34119
Phone (941) 500-3682

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1255619615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7518",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339117518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 GOODLETTE RD N",
            "address_2": "UNIT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025491",
            "telephone_number": "239-692-8719",
            "fax_number": "239-692-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTO F VERA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-692-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "DS2418",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000094400",
            "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 Apr 18, 2012; 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.