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NPI Code Detail

MEDICARE: DR. CHARINA CRUZ YANGO-CADAVOS MD

MEDICARE:  DR. CHARINA CRUZ YANGO-CADAVOS  MD
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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianME97998FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116748OTHERFLBC FL

General Provider Information

NPI Number : 1497790844
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARINA CRUZ YANGO-CADAVOS MD
Provider Business Mailing Address
First Line : 1333 3RD AVE S STE 506
Second Line :
City : NAPLES
State : FL
Zip : 34102-6538
Country : US
Telephone Number : 239-304-8040
Fax Number : 239-331-3859
Provider Business Practice Location Address
First Line : 1333 3RD AVE S STE 506
Second Line :
City : NAPLES
State : FL
Zip : 34102-6538
Country : US
Telephone Number : 239-304-8040
Fax Number : 239-331-3859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2006
Last Update Date : 12/13/2021

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Directions to “ DR. CHARINA CRUZ YANGO-CADAVOS MD” Practice Location

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