Healthcare Provider Details

I. General information

NPI: 1114457595
Provider Name (Legal Business Name): LUIS ALBERTO CABRERA HABER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6498 SW 24TH ST
MIAMI FL
33155-1949
US

IV. Provider business mailing address

6498 SW 24TH ST
MIAMI FL
33155-1949
US

V. Phone/Fax

Practice location:
  • Phone: 786-323-6973
  • Fax: 305-907-8788
Mailing address:
  • Phone: 786-323-6973
  • Fax: 305-907-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS16757
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: