MEDICARE: NILDARY CABRERA BORROTO

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	APRN11043692	FL

General Provider Information

NPI Number	:	1487515490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILDARY CABRERA BORROTO

Provider Business Mailing Address
First Line	:	12951 SW 233RD TER
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-9240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3181 CORAL WAY FL 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-567-1999
Fax Number	:	305-567-9309

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

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	04/09/2026

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