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NPI Code Detail

MEDICARE: DR. ARELIS RODRIGUEZ CABAN M.D.

MEDICARE: DR. ARELIS RODRIGUEZ CABAN 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
1208D00000XGeneral Practice Physician16540PR
2208D00000XGeneral Practice PhysicianACN679FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116540OTHERPRMEDICNE DOCTOR LICENSE
2ACN679OTHERFLMEDICINE DOCTOR LIC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467566711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARELIS RODRIGUEZ CABAN M.D.
Provider Business Mailing Address
First Line : 737 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3121
Country : US
Telephone Number : 321-247-4960
Fax Number : 833-963-0116
Provider Business Practice Location Address
First Line : 737 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3121
Country : US
Telephone Number : 321-247-4960
Fax Number : 833-963-0116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 05/11/2023

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