Healthcare Provider Details

I. General information

NPI: 1295512127
Provider Name (Legal Business Name): RICARDO CABRAL INFANZON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB PARQUE GABRIELA STREET #1 UNIT N6
SALINAS PR
00751
US

IV. Provider business mailing address

PO BOX 1366
SALINAS PR
00751-1366
US

V. Phone/Fax

Practice location:
  • Phone: 787-648-8639
  • Fax:
Mailing address:
  • Phone: 787-648-8639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH-12706
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number930
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number003074-P.A.
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: