Healthcare Provider Details

I. General information

NPI: 1699340281
Provider Name (Legal Business Name): BRYAN CABRERA ROBAINA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9014 W FLAGLER ST APT 11
MIAMI FL
33174-3906
US

IV. Provider business mailing address

9014 W FLAGLER ST APT 11
MIAMI FL
33174-3906
US

V. Phone/Fax

Practice location:
  • Phone: 786-482-5511
  • Fax:
Mailing address:
  • Phone: 786-848-7207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-88977
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: