Healthcare Provider Details

I. General information

NPI: 1588777841
Provider Name (Legal Business Name): FRANCISCO G. CABRERA PARAPROFESSIONAL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 W GARFIELD ST
TOLLESON AZ
85353-1606
US

IV. Provider business mailing address

1628 N 56TH AVE
PHOENIX AZ
85035-4901
US

V. Phone/Fax

Practice location:
  • Phone: 623-901-5181
  • Fax:
Mailing address:
  • Phone: 602-272-0754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: