Individual provider Active NPI

Greter Martinez Delgado

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1295504769
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030291 Issued in FL
Practice address
1922 SW 1St St
Cape Coral, FL 33991-1341
Phone
(239) 245-4585
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 11030291 FL Primary

Addresses

Primary practice location

1922 SW 1St St
Cape Coral, FL 33991-1341

Mailing address

1922 SW 1St St
Cape Coral, FL 33991-1341
Phone (239) 245-4585

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
I20240122004147 FL Practitioner - Nurse Practitioner 5991157216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030291FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Mobile Wound Care LLC Family CurrentSince Jan 16, 2024 Accepting new patients

Locations

7051 Cypress Ter
Ste 106
Fort Myers, FL 33907
Phone (239) 270-3973

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.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1295504769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 SW 1ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911341",
            "telephone_number": "239-245-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 SW 1ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911341",
            "telephone_number": "239-245-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ DELGADO",
        "first_name": "GRETER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.