Individual provider Active NPI

Roberto De la Vega Gil, ARNP

  • Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1952028037
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041706 Issued in FL
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225004486 FL Practitioner - Nurse Practitioner 8426421132 Reassigns benefits to 3 organizations

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
Ies Florida PLLCGroup PAC ID 8921485004, 45 clinicians
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

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 Hospital, Port Charlotte, FL, CCN 100236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001478PRMDPhysician Assistant
11041706FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Florida Kidney Physicians , LLC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Solvdel Telehealth Care, LLC Single Specialty CurrentSince Oct 23, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.