MEDICARE: LILIANA CEDENO GARCES 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
1	364SF0001X	Family Health Clinical Nurse Specialist	ARNP 9423149	FL
2	363LF0000X	Family Nurse Practitioner	APRN9423149	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APRN9423149	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861944431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIANA CEDENO GARCES MD

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 365
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-7010
Country	:	US
Telephone Number	:	786-322-7333
Fax Number	:	786-347-5022

Provider Business Practice Location Address
First Line	:	751 W PALM DR
Second Line	:
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-3223
Country	:	US
Telephone Number	:	786-377-0120
Fax Number	:	305-248-6106

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

Provider Enumeration Date	:	10/31/2016
Last Update Date	:	01/21/2021

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