Provider Demographics
NPI:1396375556
Name:REGION MEDICAL CENTER, CORP.
Entity Type:Organization
Organization Name:REGION MEDICAL CENTER, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-207-4802
Mailing Address - Street 1:3375 PINE RIDGE RD UNIT 206A
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3925
Mailing Address - Country:US
Mailing Address - Phone:239-438-1937
Mailing Address - Fax:239-631-5971
Practice Address - Street 1:3375 PINE RIDGE RD UNIT 206A
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-3925
Practice Address - Country:US
Practice Address - Phone:239-438-1937
Practice Address - Fax:239-631-5971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty