Individual provider Active NPI

Rowel Perez Vargas, MD

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1477013977
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME169858 Issued in FL
Practice address
11600 Gladiolus Dr Ste C17
Fort Myers, FL 33908-4567
Phone
(239) 790-2488
Fax
(239) 790-2490
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME169858 FL Primary

Addresses

Primary practice location

11600 Gladiolus Dr Ste C17
Fort Myers, FL 33908-4567

Mailing address

11600 Gladiolus Dr Ste C17
Fort Myers, FL 33908-4567
Phone (239) 790-2488

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307002728 FL Practitioner - Family Practice 9739415761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince May 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

11600 Gladiolus Dr
Ste C17
Fort Myers, FL 33908
Phone (239) 790-2488

4990 Majorca Palms Dr
Fort Myers, FL 33905
Phone (239) 990-3144

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1477013977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 GLADIOLUS DR STE C17",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084567",
            "telephone_number": "239-790-2488",
            "fax_number": "239-790-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 GLADIOLUS DR STE C17",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084567",
            "telephone_number": "239-790-2488",
            "fax_number": "239-790-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VARGAS",
        "first_name": "ROWEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME169858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.