Pain Diagnostic and Treatment Center, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME118705 Issued in FL

Legal business name

PAIN DIAGNOSTIC AND TREATMENT CENTER, LLC

Practice address

1611 Santa Barbara Blvd Ste 120
Cape Coral, FL 33991-3479

Phone

(239) 344-9926

Fax

(239) 236-1423

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Alexander John Martinez, M.D.

Title

Medical Director

Phone

(239) 344-9926

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1861945677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 DEL PRADO BLVD S UNIT 2255",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045788",
            "telephone_number": "239-344-9926",
            "fax_number": "239-236-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SANTA BARBARA BLVD STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913479",
            "telephone_number": "239-344-9926",
            "fax_number": "239-236-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DIAGNOSTIC AND TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-344-9926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME118705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noralys Elian Pagan Rivera, MD
• Miguel A. Pagan, PA-C
• Barbara Ruth Pagano-Westgate, PHYSICAL THERAPIST
• Kathy Pagano, RN
• Pain Centers of Southwest Florida
• Yirska Palacios Diaz
• Bryan Palacios, OTR
• Yusley Palma Orozco
• Heather Danielle Palmer, DMD
• Palmercare Chiropractic Cape Coral LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.