=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841178043
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VICTOR AQUILES COMAS CABRERA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2025
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2 MECHANIC ST
-----------------------------------------------------
City | EASTHAMPTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01027-1562
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-540-1234
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1104 HILLTOP DR
-----------------------------------------------------
City | WALPOLE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02081-4415
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-307-5507
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------