TAMARA PENA CABALLERO APRN NPI 1285116103

NPI Information

  • NPI: 1285116103
  • Provider Name: TAMARA PENA CABALLERO, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1621 SW 107TH AVE
    MIAMI, FL
    ZIP 33165
  • Phone: (786) 422-6525

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NPI Details

Tamara Pena Caballero, APRN is a family nurse practitioner in Miami, FL. Tamara Pena Caballero, APRN NPI is 1285116103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1621 SW 107TH AVE
MIAMI, FL
ZIP 33165-344
Phone: (786) 422-6525
Fax: (786) 621-7815

The NPI 1285116103 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 3/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerARNP9292778FLORIDANo
2363LF0000XNurse PractitionerFamilyAPRN9292778FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102544800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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