Provider Demographics
NPI:1629141403
Name:CADIZ, MARGARITA (MS CCC)
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:
Last Name:CADIZ
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 POLO GARDENS DR APT 101
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2002
Mailing Address - Country:US
Mailing Address - Phone:787-668-6940
Mailing Address - Fax:
Practice Address - Street 1:6650 W INDIANTOWN RD STE 110
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4629
Practice Address - Country:US
Practice Address - Phone:561-748-9707
Practice Address - Fax:561-745-7943
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7650235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist