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NPI Code Detail

MEDICARE: SHIRLEY CABRERA MS-CCC-SLP

MEDICARE:   SHIRLEY  CABRERA  MS-CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA17930FL

Other Identifiers

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

General Provider Information

NPI Number : 1730798141
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY CABRERA MS-CCC-SLP
Provider Business Mailing Address
First Line : 17003 SW 94TH WAY
Second Line :
City : MIAMI
State : FL
Zip : 33196-4747
Country : US
Telephone Number : 786-253-5512
Fax Number :
Provider Business Practice Location Address
First Line : 2109 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33145-3415
Country : US
Telephone Number : 305-859-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2020
Last Update Date : 07/31/2020

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Directions to “ SHIRLEY CABRERA MS-CCC-SLP” Practice Location

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