Healthcare Provider Details

I. General information

NPI: 1225767734
Provider Name (Legal Business Name): TERESA CABRERA VERA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA CABRERA DO

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S GRANT AVE FL 3
COLUMBUS OH
43215-4701
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-9871
  • Fax: 614-566-9503
Mailing address:
  • Phone:
  • Fax: 614-544-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number13754
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34.018477
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: