Provider Demographics
NPI:1346016383
Name:CABALLERO RODRIGUEZ, BELKIS ROSARIO (APRN)
Entity Type:Individual
Prefix:
First Name:BELKIS
Middle Name:ROSARIO
Last Name:CABALLERO RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11252 SW 164TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2718
Mailing Address - Country:US
Mailing Address - Phone:305-281-7243
Mailing Address - Fax:
Practice Address - Street 1:11252 SW 164TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-2718
Practice Address - Country:US
Practice Address - Phone:305-281-7243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARPN11029796363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner