Provider Demographics
NPI:1477353142
Name:SECADA, MARGARETE (APRN)
Entity type:Individual
Prefix:
First Name:MARGARETE
Middle Name:
Last Name:SECADA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W 20TH AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5531
Mailing Address - Country:US
Mailing Address - Phone:305-828-5677
Mailing Address - Fax:305-828-9196
Practice Address - Street 1:7150 W 20TH AVE STE 209
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5531
Practice Address - Country:US
Practice Address - Phone:305-828-5677
Practice Address - Fax:305-828-9196
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038169207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine