Individual provider Active NPI

Lazaro Rafael Cabrera, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1780155366
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000304 Issued in FL
Practice address
14520 Palamos Cir
Fort Myers, FL 33905-5944
Phone
(305) 766-3434
NPI assigned
Dec 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 APRN11000304 FL Primary
Family Medicine Physician 207Q00000X 5013019 NC

Addresses

Primary practice location

14520 Palamos Cir
Fort Myers, FL 33905-5944

Mailing address

14520 Palamos Cir
Fort Myers, FL 33905-5944
Phone (305) 766-3434

Other identifiers 1

IdentifierTypeStateIssuer
120230900MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601000019 FL Practitioner - Nurse Practitioner 9133528813 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013019NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System Family Medicine Current Accepting new patients
United Care Team PLLC CurrentSince May 1, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Dec 4, 2023 Accepting new patients
Ies Florida PLLC CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Dec 4, 2023 Accepting new patients
Llibott Consultorios Medicos- WS,PLLC PastSince Nov 1, 2020 Accepting new patients

Locations

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1780155366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 PALAMOS CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055944",
            "telephone_number": "305-766-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 PALAMOS CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055944",
            "telephone_number": "305-766-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "LAZARO",
        "middle_name": "RAFAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000304",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5013019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120230900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.