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General NPI Number Information
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NPI Number | 1457732851
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Entity Type | Individual
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Provider Name | JENNIFER MARIE LAPORTE CABALLERO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 786-596-1960
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Fax | 706-653-1230
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Provider Business Mailing Address
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Address Line | PO BOX 919336
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone | 786-596-2314
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Fax | 706-653-1230
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME142258
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PR
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