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NPI 1114457595

NPI 1114457595 : LUIS ALBERTO CABRERA HABER DO : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1114457595
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    Entity Type          |    Individual 
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    Provider Name        |    LUIS ALBERTO CABRERA HABER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/18/2017
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    6498 SW 24TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-1949
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    Country              |    US
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    Telephone            |    786-323-6973
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    Fax                  |    305-907-8788
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Provider Business Mailing Address
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    Address Line         |    6498 SW 24TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-1949
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    Country              |    US
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    Telephone            |    786-323-6973
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    Fax                  |    305-907-8788
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    OS16757
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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