Provider Demographics
NPI:1780898536
Name:CAICEDO, BELKIS MARIA (RPT)
Entity type:Individual
Prefix:
First Name:BELKIS
Middle Name:MARIA
Last Name:CAICEDO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:BELKIS
Other - Middle Name:M
Other - Last Name:CAICEDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:13238 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1176
Mailing Address - Country:US
Mailing Address - Phone:305-552-9505
Mailing Address - Fax:305-552-9953
Practice Address - Street 1:13238 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1176
Practice Address - Country:US
Practice Address - Phone:305-552-9505
Practice Address - Fax:305-552-9953
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 15510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT 15510OtherPT LICENSE