OrganizationActive
Blueshine Medical Center LLC
NPI 1053138099 · General Practice Physician · Cape Coral, FL
Provider details
- NPI number
- 1053138099
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Cevallos, Provider(305) 790-6544
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
140 Santa Barbara Blvd Ste 121
Cape Coral, FL 33991-2160
Phone: (305) 790-6544
Street-level locationGet directions
Mailing address
205 Nw 15th Pl
Cape Coral, FL 33993-7747
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2024-09-23
- Certified
- 2024-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.