Provider Demographics
NPI:1497790844
Name:YANGO-CADAVOS, CHARINA CRUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARINA
Middle Name:CRUZ
Last Name:YANGO-CADAVOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1333 3RD AVE S STE 506
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6538
Mailing Address - Country:US
Mailing Address - Phone:239-304-8040
Mailing Address - Fax:239-331-3859
Practice Address - Street 1:1333 3RD AVE S STE 506
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6538
Practice Address - Country:US
Practice Address - Phone:239-304-8040
Practice Address - Fax:239-331-3859
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97998207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16748OtherBC FL
FLAE886WMedicare PIN