Individual provider Active NPI

Mario Alfredo Martinez Blanco

  • Obstetrics & Gynecology Nurse Practitioner
  • Naples, FL
National Provider Identifier
1750138962
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN11040277 Issued in FL
Practice address
5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649
Phone
(239) 880-2680
Fax
(239) 880-2655
NPI assigned
May 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11040277 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN11040277 FL Primary

Addresses

Primary practice location

5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649

Mailing address

5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649
Phone (239) 880-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5038 Coronado Pkwy
Naples, FL 34116-6950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F12230204FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1750138962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 GOLDEN GATE PKWY STE C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167649",
            "telephone_number": "239-880-2680",
            "fax_number": "239-880-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 GOLDEN GATE PKWY STE C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167649",
            "telephone_number": "239-880-2680",
            "fax_number": "239-880-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ BLANCO",
        "first_name": "MARIO",
        "middle_name": "ALFREDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040277",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11040277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.