Healthcare Provider Details

I. General information

NPI: 1972987147
Provider Name (Legal Business Name): JULIO CESAR CARDENAS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37790 SW 8 STREET
MIAMI FL
33194
US

IV. Provider business mailing address

12976 SW 143RD TER
MIAMI FL
33186-8942
US

V. Phone/Fax

Practice location:
  • Phone: 305-894-2387
  • Fax:
Mailing address:
  • Phone: 786-444-9324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberAPRN9333042
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9333042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: