Healthcare Provider Details

I. General information

NPI: 1255928040
Provider Name (Legal Business Name): B&H HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 DEL PRADO BLVD N STE 108
CAPE CORAL FL
33909-2218
US

IV. Provider business mailing address

428 DEL PRADO BLVD N STE 108
CAPE CORAL FL
33909-2218
US

V. Phone/Fax

Practice location:
  • Phone: 239-351-2044
  • Fax: 833-975-0941
Mailing address:
  • Phone: 239-351-2044
  • Fax: 239-317-8825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LUIS JOAQUIN BARATA HIDALGO
Title or Position: PRESIDENT
Credential: APRN
Phone: 239-351-2044