MEDICARE: CABRERA MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0064292	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093986150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CABRERA MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	2695 S LE JEUNE RD
Second Line	:	SUITE 200
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5839
Country	:	US
Telephone Number	:	305-510-0471
Fax Number	:

Provider Business Practice Location Address
First Line	:	2695 S LE JEUNE RD
Second Line	:	SUITE 200
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5839
Country	:	US
Telephone Number	:	305-510-0471
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ISRAEL E CABRERA
Credential	:	M.D.
Telephone Number	:	305-510-0471

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	03/30/2011

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Directions to “CABRERA MEDICAL SERVICES INC ” Practice Location

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