Clinica Medica Camaguey Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLINICA MEDICA CAMAGUEY PRIMARY CARE LLC

Practice address

1260 NE 8TH St Ste 109
Cape Coral, FL 33909-3169

Phone

(602) 748-0586

NPI assigned

Apr 24, 2025

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yankier Hernandez Gonzalez, PA-CNNPI 1306525829

Title

Owner

Phone

(602) 748-0586

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesus Manuel Rodriguez, MD

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1841214996
  Medicare reassignment NPD
• Yankier Hernandez Gonzalez

  • Physician Assistant
  • Cape Coral, FL
  • NPI 1306525829
  NPD Authorized official
• Tucker Greene

  • Emergency Medicine Physician
  • Cape Coral, FL
  • NPI 1023073392
  NPD
• Gregory Robert Sonn, D.O.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1326144254
  NPD
• Brian R Webster, P.A.

  • Physician Assistant
  • Port Charlotte, FL
  • NPI 1164580536
  NPD (past)

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1568259299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SE 6TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901566",
            "telephone_number": "602-748-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH ST STE 109",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093169",
            "telephone_number": "602-748-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA CAMAGUEY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ GONZALEZ",
        "authorized_official_first_name": "YANKIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-748-0586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-CN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED PHYSICIAN NPI",
            "identifier": "1841214996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar-Shay Clark, DC
• Alan B Claunch, MD
• Ana Margarita Clavijo Hernandez, BCBA
• Cleveland Medical Supply Inc
• Clinic Nova Vida
• Clinical & Preventive Cardiology Inc
• John Michael Clochesy
• Heather Close
• Maude Clouse, MS CCC-SLP
• Caitlin Coakley, COTA/L

• Primary Care Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.