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NPI Code Detail

MEDICARE: DR. GILBERTO CADAVID M.D.

MEDICARE: DR. GILBERTO CADAVID M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085B0100XBody Imaging PhysicianG6480TX
22085R0202XDiagnostic Radiology PhysicianG6480TX
32085R0204XVascular & Interventional Radiology PhysicianG6480TX
42085U0001XDiagnostic Ultrasound PhysicianG6480TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28L26887OTHERTXMEDICARE - STRIC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417933219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GILBERTO CADAVID M.D.
Provider Business Mailing Address
First Line : 8401 DATAPOINT, SUITE 600
Second Line : P. O. BOX 29441
City : SAN ANTONIO
State : TX
Zip : 78229-0441
Country : US
Telephone Number : 210-616-7796
Fax Number : 210-616-7799
Provider Business Practice Location Address
First Line : 8401 DATAPOINT DR STE 600
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5907
Country : US
Telephone Number : 210-616-7700
Fax Number : 210-616-7709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/26/2010

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Directions to “ DR. GILBERTO CADAVID M.D.” Practice Location

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