Washington Dario Baquero, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

ME34296 Issued in FL

Practice address

1705 Colonial Blvd Ste C1
Fort Myers, FL 33907-1197

Phone

(239) 275-4141

Fax

(239) 275-4879

NPI assigned

Sep 17, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction MedicineAlso: Family Practice, Geriatric Medicine

Education

New York Medical College, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington D. Baquero, MD, PA

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1124161542
  Medicare reassignment NPD Authorized official
• Lee Health System Inc

  dba Lee Health Specialty Pharmacy

  • Community/Retail Pharmacy
  • Bonita Springs, FL
  • NPI 1699510925
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962509521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 COLONIAL BLVD STE C1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071197",
            "telephone_number": "239-275-4141",
            "fax_number": "239-275-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COLONIAL BLVD STE C1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071197",
            "telephone_number": "239-275-4141",
            "fax_number": "239-275-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 Creekside Ln",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193353",
            "country_code": "US",
            "telephone_number": "239-343-9220",
            "fax_number": "239-343-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6360 Techster Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339664805",
            "country_code": "US",
            "telephone_number": "239-223-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAQUERO",
        "first_name": "WASHINGTON",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0034296F",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME34296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Banyari
• Ashok Bapat, M.D.
• Amber Baptiste
• Jean Alex Baptiste
• Luckenn Baptiste, PTA
• Stephanie Marie Baracskay
• Ligia Patricia Barajas-Bustos, O.T
• Dana Carolane Barajas, LMHC
• Diana Malo Barajas, D.D.S.
• Amanda Baranski

• Addiction Medicine (Family Medicine) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.