Provider Demographics
NPI:1295504983
Name:CABALLERO GONZALEZ, YAMILA (FNP-C)
Entity type:Individual
Prefix:
First Name:YAMILA
Middle Name:
Last Name:CABALLERO GONZALEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8995 NW 115TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4117
Mailing Address - Country:US
Mailing Address - Phone:786-227-9515
Mailing Address - Fax:
Practice Address - Street 1:8995 NW 115TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4117
Practice Address - Country:US
Practice Address - Phone:786-227-9515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022087363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner