MEDICARE: DR. JACOBO ABRAHAM CABRERA-RAMIREZ MD

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	207P00000X	Emergency Medicine Physician	R76645	AZ
2	208VP0000X	Pain Medicine Physician	62713	AZ

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

General Provider Information

NPI Number	:	1942792981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOBO ABRAHAM CABRERA-RAMIREZ MD

Provider Business Mailing Address
First Line	:	3370 S MERCY RD STE 321
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0417
Country	:	US
Telephone Number	:	480-550-9393
Fax Number	:	480-999-3375

Provider Business Practice Location Address
First Line	:	3370 S MERCY RD STE 321
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0417
Country	:	US
Telephone Number	:	480-550-9393
Fax Number	:	480-999-3375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2018
Last Update Date	:	09/27/2024

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