Healthcare Provider Details
I. General information
NPI: 1780066670
Provider Name (Legal Business Name): ABEL CABRERA-MARTINEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2015
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1165 W 49TH ST STE 210
HIALEAH FL
33012-3373
US
IV. Provider business mailing address
16900 NW 78TH AVE
MIAMI LAKES FL
33016-8446
US
V. Phone/Fax
- Phone: 786-931-4606
- Fax: 786-786-1022
- Phone: 512-947-7631
- Fax: 786-786-1022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | ME150663 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0120X |
| Taxonomy | Cornea and External Diseases Specialist Physician |
| License Number | ME150663 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: