Healthcare Provider Details

I. General information

NPI: 1689287575
Provider Name (Legal Business Name): BEATRIZ TERESA JIMENEZ CADILLA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 GLADES RD STE 400
BOCA RATON FL
33431-6464
US

IV. Provider business mailing address

12315 SW 151ST ST APT 205
MIAMI FL
33186-5949
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-2570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number113533371701
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPU9690
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS61231
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: