MEDICARE: CARDENAS MEDICAL SERVICES, INC.

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
1	170100000X	Ph.D. Medical Genetics

General Provider Information

NPI Number	:	1639250590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDENAS MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	6070 SW 8TH ST
Second Line	:
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-5003
Country	:	US
Telephone Number	:	305-262-4688
Fax Number	:	305-262-4660

Provider Business Practice Location Address
First Line	:	6070 SW 8TH ST
Second Line	:
City	:	WEST MIAMI
State	:	FL
Zip	:	33144-5003
Country	:	US
Telephone Number	:	305-262-4688
Fax Number	:	305-262-4660

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ORLANDO AGUIAR
Credential	:
Telephone Number	:	786-285-5246

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/22/2020

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