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General NPI Number Information
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NPI Number | 1689797219
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Entity Type | Organization
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Legal Business Name | LUIS R CABRERA MD PA
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 9471 SW 10TH ST
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City | MIAMI
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State | FL
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Zip | 33174-3023
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Country | US
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Telephone | 786-440-6612
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Fax | 305-675-2478
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Provider Business Mailing Address
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Address Line | 9471 SW 10TH ST
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City | MIAMI
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State | FL
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Zip | 33174-3023
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Country | US
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Telephone | 786-440-6612
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Fax | 305-675-2478
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS CABRERA
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Credential | M.D
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Telephone | 786-440-6612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME87357
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License Number State | FL
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