Provider Demographics
NPI:1457128316
Name:CAVEDA GIL, ANGEL ERNESTO (APRN)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:ERNESTO
Last Name:CAVEDA GIL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 SW 80TH ST APT 201A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3134
Mailing Address - Country:US
Mailing Address - Phone:178-630-4364
Mailing Address - Fax:
Practice Address - Street 1:14901 SW 80TH ST APT 201A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3134
Practice Address - Country:US
Practice Address - Phone:786-304-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11025301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily