Organization Active NPI

Skyblue WD LLC

  • Prosthodontics
  • Cape Coral, FL
National Provider Identifier
1609770197
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
SKYBLUE WD LLC
Practice address
2139 Skyline Blvd Ste B
Cape Coral, FL 33991-3674
Phone
(239) 666-4090
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
David Rua Perez, DMD MDSNPI 1093244972
Title
Ceo/Co-Owner
Phone
(786) 328-9108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X Primary

Addresses

Primary practice location

2139 Skyline Blvd Ste B
Cape Coral, FL 33991-3674

Mailing address

2139 Skyline Blvd Ste B
Cape Coral, FL 33991-3674
Phone (239) 666-4090

National Provider Directory

National Provider Directory

Locations

2139 Skyline Blvd
Ste B
Cape Coral, FL 33991
Phone (239) 666-4090

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1609770197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 SKYLINE BLVD STE B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913674",
            "telephone_number": "239-666-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 SKYLINE BLVD STE B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913674",
            "telephone_number": "239-666-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYBLUE WD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "RUA PEREZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/CO-OWNER",
        "authorized_official_telephone_number": "786-328-9108",
        "authorized_official_credential": "DMD MDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 7, 2026; 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.