OrganizationActive
Richardo S Bocanegra DDS PA
NPI 1053404939 · Dentist · Fort Myers, FL
Provider details
- NPI number
- 1053404939
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Richardo Bocanegra, Dentist(239) 482-8806
- License
- DN13517 (FL)
Specialties & taxonomies
Dental Providers
Practice location
6805 Porto Fino Cir
Bldg G
Fort Myers, FL 33912-4390
Phone: (239) 482-8805
Approximate (ZIP-level) locationGet directions
Mailing address
6805 Porto Fino Cir
Fort Myers, FL 33912-4390
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.