Provider Demographics
NPI:1083953640
Name:CADIZ, DANIEL (LPN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:CADIZ
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE ARZUAGA
Mailing Address - Street 2:SUITE 456
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3701
Mailing Address - Country:US
Mailing Address - Phone:787-902-0495
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE ARZUAGA
Practice Address - Street 2:SUITE 456
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3701
Practice Address - Country:US
Practice Address - Phone:787-902-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR019094164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse