Healthcare Provider Details
I. General information
NPI: 1255301164
Provider Name (Legal Business Name): PEDRO O. CABRERA-BONET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/24/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CENTERPLEX CARR 2 KM 133.5 SUITE 303
AGUADA PR
00602
US
IV. Provider business mailing address
PO BOX 6213
MAYAGUEZ PR
00681-6213
US
V. Phone/Fax
- Phone: 787-925-7246
- Fax: 888-671-8400
- Phone: 787-925-7246
- Fax: 888-671-8400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 18019 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 25MA06787000 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LC0200X |
| Taxonomy | Critical Care Medicine (Anesthesiology) Physician |
| License Number | 018019 |
| License Number State | PR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 25MA067870 |
| License Number State | NJ |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 01819 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: