Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME128252 | FL |
Y | 2080P0214X | Pediatric Pulmonologist | ME128252 | FL |
NPI | 1396180709 |
---|---|
Provider Name | Monica Raquel Cardenas |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2013 |
Last Update Date | 06/09/2019 |