Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME109915 | FL |
N | 207VG0400X | Gynecologist | 63838 | GA |
N | 207VX0000X | Obstetrician | 01061716A | IN |
NPI | 1073568143 |
---|---|
Provider Name | Ernesto Cardenas |
First Address | Doral, FL 33166-6655 |
Second Address | Doral, FL 33166-6655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 22/12/2014 |