MATXALEN AMEZAGA URRUELA (NPI# 1205083276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205083276 |
| Entity Type | Individual |
| Full Name | MATXALEN AMEZAGA URRUELA |
| Credential | M.D. |
| Practice Address |
8960 Colonial Center Dr Suite 302 Fort Myers FL 33905 |
| Mailing Address |
P.o. Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439633 |
| Practice Fax Number | 2393439635 |
| Mailing Telephone | 2393439633 |
| Mailing Fax Number | 2393434015 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME124793 | FL | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
P4628 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018149500 | 05 |
| Street Address |
8960 COLONIAL CENTER DR SUITE 302 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480715 | Renato Concepcion | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905 | 2006-01-03 |
| 1982045316 | Sherry Farag | Family Medicine | 8960 Colonial Center Dr, Suite 300, Fort Myers, FL 33905 | 2013-07-14 |
| 1497046569 | Heitham Kamel Ajlouni | Internal Medicine | 8960 Colonial Center Dr, Suite 202, Fort Myers, FL 33905 | 2011-04-25 |
| 1376869305 | Dawn Duchesne Stoner | Nurse Practitioner | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2010-04-15 |
| 1487980686 | Donna Marie Lanthier | Physical Medicine & Rehabilitation | 8960 Colonial Center Dr, Suite 210, Fort Myers, FL 33905-7810 | 2009-10-22 |
| 1972733350 | Amanda Lynn White | Nurse Practitioner | 8960 Colonial Center Dr, #300, Fort Myers, FL 33905-7810 | 2009-07-21 |
| 1639344914 | Mikhailia Wanakee Lake | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2008-04-28 |
| 1427235399 | Lolita Winifred Melhado | Nurse Practitioner | 8960 Colonial Center Dr, Suite 206, Fort Myers, FL 33905-7810 | 2008-01-23 |
| 1699976993 | Thinn Hlaing | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2007-05-31 |
| 1841491933 | Patricia Lima Sareh | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790793461 | Jodi M Grosflam | Internal Medicine | 15740 New Hampshire Ct, Suite B, Fort Myers, FL 33908-4173 | 2006-08-04 |
| 1669453593 | Kalugamage Ranjit Fernando | Internal Medicine | 3722 Central Ave, Suite 2, Fort Myers, FL 33901-8247 | 2005-11-08 |
| 1023019833 | Juan Bustillo | Internal Medicine | 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905 | 2005-08-02 |
| 1073828026 | K. Ranjit Fernando, M.d., P.a. | Internal Medicine | 3722 Central Ave, Suite 2, Fort Myers, FL 33901-8247 | 2010-08-15 |
| 1457556383 | Romy Aranguiz | Internal Medicine | 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905 | 2007-06-20 |
| 1295842862 | Marilu Colon | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2006-08-23 |
| 1144228362 | David Robert Baldinger | Internal Medicine | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588654 | Wellness Institute of Miami Inc | Internal Medicine | 14114 Sw 42nd Ter, Miami, FL 33175-3644 | 2020-08-13 |
| 1003465253 | Mpp Infusion Center of Doctor Phillips, LLC | Internal Medicine | 6068 S Apopka Vineland Rd Ste 4, Orlando, FL 32819-4449 | 2019-09-10 |
| 1407408883 | Mpp Infusion Center of Kissimmee, LLC | Internal Medicine | 607 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2019-07-15 |
| 1811559487 | Mpp Infusion Center of Port St Lucie LLC | Internal Medicine | 525 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1605 | 2019-07-03 |
| 1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
| 1972069946 | Mid-florida Rheumatology LLC | Internal Medicine | 1743 Park Center Dr Ste 400, Orlando, FL 32835-7621 | 2019-02-14 |
| 1992269468 | Rheumatology Center of Palm Beach Pllc | Internal Medicine | 3918 Via Poinciana Ste 2, Lake Worth, FL 33467-2991 | 2019-01-29 |
| 1598205072 | American Arthritis & Rheumatology Associates LLC | Internal Medicine | 2255 Glades Rd Ste 228w, Boca Raton, FL 33431-7391 | 2017-03-02 |
| 1275904575 | Florida Rheumatology Associates Inc | Internal Medicine | 6801 Us Highway 27 N Ste A2, Sebring, FL 33870-1000 | 2015-10-13 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.