Organization Active NPI

Prada Family Care

  • Clinic/Center
  • Naples, FL
National Provider Identifier
1437504016
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME120490 Issued in FL
Legal business name
PRADA FAMILY CARE
Practice address
2515 Northbrooke Plaza Dr
Suite 200
Naples, FL 34119-8088
Phone
(239) 300-6150
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Gustavo Prada, M.D.
Title
Medical Director
Phone
(239) 300-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME120490 FL Primary

Addresses

Primary practice location

2515 Northbrooke Plaza Dr
Suite 200
Naples, FL 34119-8088

Mailing address

2515 Northbrooke Plaza Dr
Suite 200
Naples, FL 34119-8088
Phone (239) 300-6150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1437504016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 NORTHBROOKE PLAZA DR",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198088",
            "telephone_number": "239-300-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 NORTHBROOKE PLAZA DR",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198088",
            "telephone_number": "239-300-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADA FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "PRADA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-300-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME120490",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 2, 2016; 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.