Healthcare Provider Details

I. General information

NPI: 1750203030
Provider Name (Legal Business Name): ODET MARGARITA CABALLERO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 E 53RD TER
HIALEAH FL
33013-1457
US

IV. Provider business mailing address

191 E 53RD TER
HIALEAH FL
33013-1457
US

V. Phone/Fax

Practice location:
  • Phone: 786-389-9778
  • Fax:
Mailing address:
  • Phone: 786-389-9778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number26651
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: