Healthcare Provider Details

I. General information

NPI: 1174669246
Provider Name (Legal Business Name): JORGE L. CABRERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 W INDIANTOWN RD STE 102
JUPITER FL
33458-3905
US

IV. Provider business mailing address

1232 W INDIANTOWN RD STE 102
JUPITER FL
33458-3905
US

V. Phone/Fax

Practice location:
  • Phone: 561-744-1343
  • Fax: 561-744-1344
Mailing address:
  • Phone: 561-744-1343
  • Fax: 561-744-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME115384
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01062240A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberME115384
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: