Organization Active NPI

Naples West Group

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1780064428
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5051CASTELLO Issued in FL
Legal business name
NAPLES WEST GROUP
Practice address
5051 Castello Dr Ste 41
Naples, FL 34103-8984
Phone
(239) 692-4428
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Mairelis Rodriguez, CPA
Title
President
Phone
(239) 252-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 5051CASTELLO FL Primary

Addresses

Primary practice location

5051 Castello Dr Ste 41
Naples, FL 34103-8984

Mailing address

5051 Castello Dr Ste 41
Naples, FL 34103-8984
Phone (239) 692-4428

Other identifiers 1

IdentifierTypeStateIssuer
5051CASTELLOOtherFLCOMERCIAL OBAMACARE

National Provider Directory

National Provider Directory

Locations

5051 Castello Dr
Ste 41
Naples, FL 34103
Phone (239) 692-4428

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1780064428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 CASTELLO DR STE 41",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038984",
            "telephone_number": "239-692-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 CASTELLO DR STE 41",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038984",
            "telephone_number": "239-692-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES WEST GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MAIRELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-252-5332",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "5051CASTELLO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMERCIAL OBAMACARE",
            "identifier": "5051CASTELLO",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.