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ARELIS M. MADERA, MD, PA
NPI 1659517076
Clinic/Center - Medical Specialty in Port Charlotte, FL

Active since January 07, 2009
3611 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952(941) 235-0542(941) 235-0545 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arelis M. Madera, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARELIS M. MADERA, MD, PA (NPI 1659517076) is a healthcare organization registered as a medical specialty in Port Charlotte, Florida and active in the NPI registry since January 2009. The organization lists Arelis M Madera, President, as its authorized official.

NPPES Registry Identity

NPI1659517076
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameARELIS M. MADERA, MD, PA
Location Address3611 TAMIAMI TRL, SUITE BPort Charlotte, FL 33952-5528
Mailing Address3611 Tamiami Trl, Suite BPort Charlotte, FL 33952-5528 · (941) 235-0542 · Fax (941) 235-0545
Phone(941) 235-0542
Fax(941) 235-0545
Organization SubpartNo
Authorized OfficialArelis M MaderaPresident · (941) 235-0542
Enumeration DateJanuary 7, 2009
✔ NPI 1659517076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME74893
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3611 TAMIAMI TRL, Port Charlotte, FL 33952
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Other Identifiers 2

Medicare PIN42998
Medicare UPING73581

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXA FAUSEY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3611 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 235-0532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arelis M. Madera, MD, PA's NPI number?

The NPI number for Arelis M. Madera, MD, PA is 1659517076. It was assigned to this organization in the NPPES registry on January 7, 2009.

Where is Arelis M. Madera, MD, PA located?

Arelis M. Madera, MD, PA is located at 3611 Tamiami Trl Suite B, Port Charlotte, FL 33952. The listed phone number is (941) 235-0542.

What is Arelis M. Madera, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Arelis M. Madera, MD, PA was last updated on January 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.