Individual
DR. GILBERTO CADAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709
Mailing address
8401 DATAPOINT, SUITE 600, P. O. BOX 29441, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G6480
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G6480
TX
2085R0204X
Vascular & Interventional Radiology Physician
G6480
TX
2085U0001X
Diagnostic Ultrasound Physician
G6480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1359929-09
MEDICAID - STRIC
TX
01
—
8L26887
MEDICARE - STRIC
TX
Enumeration date
12/22/2005
Last updated
07/26/2010
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