Healthcare Provider Details

I. General information

NPI: 1952407025
Provider Name (Legal Business Name): DULCE C CABRERA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CORAL WAY SUITE 206
CORAL GABLES FL
33134-4930
US

IV. Provider business mailing address

401 CORAL WAY SUITE 206
CORAL GABLES FL
33134-4930
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-2945
  • Fax: 305-445-7231
Mailing address:
  • Phone: 305-445-2945
  • Fax: 305-445-7231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number84376
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: