Healthcare Provider Details

I. General information

NPI: 1386833028
Provider Name (Legal Business Name): JUAN C CABRERA ARNP, ANP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NW 12TH AVE
MIAMI FL
33136-1051
US

IV. Provider business mailing address

19403 NW 87TH CT
HIALEAH FL
33018-6216
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-7000
  • Fax:
Mailing address:
  • Phone: 786-320-6030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberARNP9309847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: