Individual provider Active NPI

Esmirna Marisol Perez Rosario

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1598335952
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
331043 Issued in NY
Practice address
11100 Summer Ridge LN
Fort Myers, FL 33908-4064
Phone
(844) 342-7935
Fax
(239) 479-5202
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 331043 NY Primary

Addresses

Primary practice location

11100 Summer Ridge LN
Fort Myers, FL 33908-4064

Mailing address

81 Metropolitan Oval Apt 9G
Bronx, NY 10462-6419
Phone (718) 781-7152

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
I20250812001924 FL Practitioner - Internal Medicine 0749725794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 Summer Ridge LN
Fort Myers, FL 33908-4064
Phone (844) 342-7935

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331043NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of Southwest Florida, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Family Health Centers of Southwest Florida Inc CurrentSince Jul 28, 2025 Accepting new patients

Locations

11921 Saradrienne Ln
Bonita Springs, FL 34135
Phone (239) 344-2322

2232 Grand Ave
Fort Myers, FL 33901
Phone (239) 344-2330

19701 S Tamiami Trl
Fort Myers, FL 33908
Phone (239) 314-1600

11100 Summer Ridge Ln
Fort Myers, FL 33908
Phone (239) 344-2348

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1598335952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 METROPOLITAN OVAL APT 9G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626419",
            "telephone_number": "718-781-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SUMMER RIDGE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084064",
            "telephone_number": "844-342-7935",
            "fax_number": "239-479-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ROSARIO",
        "first_name": "ESMIRNA",
        "middle_name": "MARISOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.