Active NPI
Roberto De la Vega Gil, ARNP
- Nurse Practitioner
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11041706
- Practice address
- 2560 Keystone Lake Dr
Cape Coral, FL 33909-2941 - Phone
- (786) 318-9667
- NPI assigned
- Oct 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001478 | PR | |
| Nurse Practitioner | 363L00000X | 11041706 | FL | Primary |
Addresses
Primary practice location
2560 Keystone Lake Dr
Cape Coral, FL 33909-2941
Mailing address
2560 Keystone Lake Dr
Cape Coral, FL 33909-2941
Phone (786) 318-9667
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4122
2852 Tamiami TRL
Suite 1
Port Charlotte, FL 33952-5100
Phone (941) 505-8720
Hospital & facility affiliations
- HCA Florida Fawcett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001478 | PR | MD | Physician Assistant |
| 11041706 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians, LLC | Single Specialty | Current | Accepting new patients |
| Florida Kidney Physicians , LLC | Single Specialty | Current | Accepting new patients |
| Solvdel Telehealth Care, LLC | Single Specialty | Current | Accepting new patients |
Locations
2852 Tamiami Trl
Ste 1
Port Charlotte, FL 33952
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
Single Specialty
-
- Emergency Medicine Physician
- Venice, FL
- NPI 1124788716
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1952028037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 KEYSTONE LAKE DR",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092941",
"telephone_number": "786-318-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 KEYSTONE LAKE DR",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092941",
"telephone_number": "786-318-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA VEGA GIL",
"first_name": "ROBERTO",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PR",
"license": "001478",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11041706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.