MEDICARE: DR. PATRICK CABRERA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1554	HI

General Provider Information

NPI Number	:	1104522408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK CABRERA DC

Provider Business Mailing Address
First Line	:	94-1404 POLANI ST APT A
Second Line	:
City	:	WAIPAHU
State	:	HI
Zip	:	96797-4606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1123 KEAUNUI DR STE 228
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6370
Country	:	US
Telephone Number	:	808-321-0253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	02/07/2023

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Directions to “ DR. PATRICK CABRERA DC” Practice Location

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