MEDICARE: ANABEL MARIELA CACERES PEREZ

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	363LF0000X	Family Nurse Practitioner	APRN11037017	FL

General Provider Information

NPI Number	:	1144109836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANABEL MARIELA CACERES PEREZ

Provider Business Mailing Address
First Line	:	1425 NW 10TH AVE FL 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 NW 10TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1024
Country	:	US
Telephone Number	:	305-243-6606
Fax Number	:

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

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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