Provider Demographics
NPI:1740579002
Name:CABALLERO, YOEL (X RAY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:YOEL
Middle Name:
Last Name:CABALLERO
Suffix:
Gender:M
Credentials:X RAY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2471 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3150
Mailing Address - Country:US
Mailing Address - Phone:786-275-4514
Mailing Address - Fax:786-275-4516
Practice Address - Street 1:2471 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3150
Practice Address - Country:US
Practice Address - Phone:786-275-4514
Practice Address - Fax:786-275-4516
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT63240247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist