Provider Demographics
NPI:1558841585
Name:CEVARES ALCANTARA, JULIO CESAR (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:CESAR
Last Name:CEVARES ALCANTARA
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 NW 26TH AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3045
Mailing Address - Country:US
Mailing Address - Phone:786-472-0230
Mailing Address - Fax:786-233-1013
Practice Address - Street 1:616 NW 26TH AVE APT 302
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3045
Practice Address - Country:US
Practice Address - Phone:786-472-0230
Practice Address - Fax:786-233-1013
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9377003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily