Provider Demographics
NPI:1184672784
Name:CABANEZ, FRANK LORENZO (ARNP)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:LORENZO
Last Name:CABANEZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 SW 106TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3602
Mailing Address - Country:US
Mailing Address - Phone:786-371-6991
Mailing Address - Fax:305-220-1168
Practice Address - Street 1:3230 SW 106TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3602
Practice Address - Country:US
Practice Address - Phone:786-371-6991
Practice Address - Fax:305-220-1168
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2049632363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304080100Medicaid
FLY0438OtherBLUE CROSS BLUE SHIELD
FLP06373Medicare UPIN
FLE4110Medicare PIN