Healthcare Provider Details

I. General information

NPI: 1578431672
Provider Name (Legal Business Name): JCM2 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 NW 166TH TER
MIAMI LAKES FL
33016-3442
US

IV. Provider business mailing address

8280 NW 166TH TER
MIAMI LAKES FL
33016-3442
US

V. Phone/Fax

Practice location:
  • Phone: 512-947-7631
  • Fax: 786-786-1023
Mailing address:
  • Phone: 512-947-7631
  • Fax: 786-786-1022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE CABRERA
Title or Position: PHYSICIAN
Credential: MD
Phone: 512-947-7631