Basic Information
Provider Information
NPI: 1831243997
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CABIELLES
FirstName: TANIA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11701 SW 130TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331864631
CountryCode: US
TelephoneNumber: 3053859979
FaxNumber:  
Practice Location
Address1: 7400 N KENDALL DR
Address2:  
City: MIAMI
State: FL
PostalCode: 331567706
CountryCode: US
TelephoneNumber: 3056704424
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/23/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XRN2002552FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


Home