MEDICARE: NIMBE RICANO CADENAS

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	363LP2300X	Primary Care Nurse Practitioner	AP136977	TX

General Provider Information

NPI Number	:	1689171936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIMBE RICANO CADENAS

Provider Business Mailing Address
First Line	:	2415 INDIAN FRST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-4520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3326 SE MILITARY DR STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-3984
Country	:	US
Telephone Number	:	210-304-8282
Fax Number	:

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

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	06/20/2024

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Directions to “ NIMBE RICANO CADENAS ” Practice Location

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