Healthcare Provider Details

I. General information

NPI: 1023737434
Provider Name (Legal Business Name): DENNIS REJAS CABRERA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DENNIS REJAS CABRERA

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date: 10/14/2023
Reactivation Date: 10/23/2023

III. Provider practice location address

2740 SW 19TH TER
MIAMI FL
33145-1930
US

IV. Provider business mailing address

2740 SW 19TH TER
MIAMI FL
33145-1930
US

V. Phone/Fax

Practice location:
  • Phone: 561-525-6349
  • Fax: 305-906-7491
Mailing address:
  • Phone: 561-525-6349
  • Fax: 305-906-7491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11029196
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number3024042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: