MEDICARE: GEIDI CABRERA PEREDA PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11047416	FL

General Provider Information

NPI Number	:	1043148364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEIDI CABRERA PEREDA PMHNP-BC

Provider Business Mailing Address
First Line	:	301 W PARK DR APT 102
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-3965
Country	:	US
Telephone Number	:	305-608-7052
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 NW 22ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2738
Country	:	US
Telephone Number	:	305-530-8164
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/27/2026

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