Healthcare Provider Details

I. General information

NPI: 1689755126
Provider Name (Legal Business Name): FERNANDO J. CABRERA DELGADO MD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 CALLE SANTA CRUZ SUITE 307,
BAYAMON PR
00961-6910
US

IV. Provider business mailing address

EDIFICIO MEDICO SANTA CRUZ # 73, SUITE 307,
BAYAMON PR
00961-6919
US

V. Phone/Fax

Practice location:
  • Phone: 787-740-8040
  • Fax: 787-740-8060
Mailing address:
  • Phone: 787-740-8040
  • Fax: 787-740-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number7093
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: