Organization Active NPI

Mannet Medical LLC

  • Health Service Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1508447392
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MANNET MEDICAL LLC
Practice address
4231 SW 20TH Ave
Cape Coral, FL 33914-6285
Phone
(305) 833-6935
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Manuel Lorenzo Romero Garcia, APRN
Title
Aprn
Phone
(305) 833-6935

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

4231 SW 20TH Ave
Cape Coral, FL 33914-6285

Mailing address

4231 SW 20TH Ave
Cape Coral, FL 33914-6285
Phone (305) 833-6935

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1508447392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 SW 20TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146285",
            "telephone_number": "305-833-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 SW 20TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146285",
            "telephone_number": "305-833-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNET MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO GARCIA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "305-833-6935",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.