Individual provider Active NPI

Manuel Enrique Caballero Tablada, ARNP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1760922512
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9388601 Issued in FL
Practice address
45 NW 8TH St Ste 106
Homestead, FL 33030-4452
Phone
(305) 791-7773
NPI assigned
Feb 27, 2017
Last updated
Feb 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9388601 FL Primary

Addresses

Primary practice location

45 NW 8TH St Ste 106
Homestead, FL 33030-4452

Mailing address

1986 SE 13TH St
Homestead, FL 33035-1933
Phone (954) 478-5178

Other practice location 1

1986 SE 13th St
Homestead, FL 33035-1933
Phone (954) 478-5178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9388601FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon a Guevara D.O.,P.a. CurrentSince Jan 15, 2023 Accepting new patients
Ramon a Guevara D.O.,P.a. CurrentSince Jan 15, 2023 Accepting new patients

Locations

45 NW 8th St
Ste 106
Homestead, FL 33030
Phone (305) 246-0713

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mcaballero@ragd-fl.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1760922512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1986 SE 13TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351933",
            "telephone_number": "954-478-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW 8TH ST STE 106",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304452",
            "telephone_number": "305-791-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1986 SE 13th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330351933",
            "country_code": "US",
            "telephone_number": "954-478-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO TABLADA",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9388601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.