NPIMap

Organization Active NPI

Carmona Medical Care Inc

Doing business as Carmona Medical Center

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1922620749
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARMONA MEDICAL CARE INC
Doing business as
Carmona Medical Center
Practice address
2307 Bolado Pkwy
Cape Coral, FL 33990-2712
Phone
(786) 768-3315
Fax
(239) 443-4516
NPI assigned
May 14, 2020
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Juan A Carmona, M.D.NPI 1083153761
Title
President
Phone
(786) 768-3315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

2307 Bolado Pkwy
Cape Coral, FL 33990-2712

Mailing address

2307 Bolado Pkwy
Cape Coral, FL 33990-2712
Phone (786) 768-3315

Other practice location 1

1708 Cape Coral Pkwy W Ste 4
Cape Coral, FL 33914-6985
Phone (239) 297-9730

Other identifiers 2

IdentifierTypeStateIssuer
022660000MedicaidFL
2DYCQOtherFLBCBS

Other names 1

  • Carmona Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Carmonamedicalcenter@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200629001829 FL Part B Supplier - Clinic/Group Practice 4486076080 Receives reassigned benefits from 12 practitioners
Practice locations: Cape Coral, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2200356Carmona Medical Care Inc2307 Bolado Parkway, Cape Coral, FL 33990Certificate of waiverNov 15, 2026
10D2326897Carmona Medical Care Inc1708 Cape Coral Pkwy Ste 4, Cape Coral, FL 33914Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1922620749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 BOLADO PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902712",
            "telephone_number": "786-768-3315",
            "fax_number": "239-443-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 BOLADO PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902712",
            "telephone_number": "786-768-3315",
            "fax_number": "239-443-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Cape Coral Pkwy W Ste 4",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339146985",
            "country_code": "US",
            "telephone_number": "239-297-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARMONA MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-768-3315",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022660000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2DYCQ",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carmonamedicalcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2307 Bolado Pkwy",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339902712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carmona Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.