Healthcare Provider Details

I. General information

NPI: 1083669279
Provider Name (Legal Business Name): FRANCISCO MARTE CABRERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ORQUIDEA A-48 URB LOIZA VALLEY
CANOVANAS PR
00729
US

IV. Provider business mailing address

PMB 121 PO BOX 20000
CANOVANAS PR
00729
US

V. Phone/Fax

Practice location:
  • Phone: 787-283-3782
  • Fax:
Mailing address:
  • Phone: 787-283-3782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10581
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: