Individual provider Active NPI

Cecilio D Pizarro, M.D.

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1376659961
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME59711 Issued in FL
Practice address
1342 Colonial Blvd
BLDG. F # 41-a
Fort Myers, FL 33907-1013
Phone
(239) 415-7792
Fax
(239) 274-3771
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME59711 FL Primary

Addresses

Primary practice location

1342 Colonial Blvd
BLDG. F # 41-a
Fort Myers, FL 33907-1013

Mailing address

1342 Colonial Blvd
BLDG. F # 41-a
Fort Myers, FL 33907-1013
Phone (239) 415-7792

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME59711FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376659961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 COLONIAL BLVD",
            "address_2": "BLDG. F # 41-A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071013",
            "telephone_number": "239-415-7792",
            "fax_number": "239-274-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 COLONIAL BLVD",
            "address_2": "BLDG. F # 41-A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071013",
            "telephone_number": "239-415-7792",
            "fax_number": "239-274-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZARRO",
        "first_name": "CECILIO",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.