Basic Information
| Provider Information | |||||||||
| NPI: | 1952923443 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CADACIO | ||||||||
| FirstName: | MILAGROS ROELA | ||||||||
| MiddleName: | CENTENO | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 221 GRANVILLE CIR | ||||||||
| Address2: | |||||||||
| City: | EGG HARBOR TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082346011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092334447 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1944 ROUTE 33 | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077530775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327764618 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2020 | ||||||||
| LastUpdateDate: | 05/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 26NJ01032900 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.