Healthcare Provider Details

I. General information

NPI: 1467425140
Provider Name (Legal Business Name): RAMON F. CABREJA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NW 82ND AVE
PLANTATION FL
33324-1811
US

IV. Provider business mailing address

PO BOX 17347
PLANTATION FL
33318-7347
US

V. Phone/Fax

Practice location:
  • Phone: 954-424-1766
  • Fax: 954-851-1758
Mailing address:
  • Phone: 954-370-1053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME64355
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: