MEDICARE: DR. ANIA CABRERIZO D.M.D.

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	1223P0221X	Pediatric Dentistry	DN16674	FL

General Provider Information

NPI Number	:	1154490373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIA CABRERIZO D.M.D.

Provider Business Mailing Address
First Line	:	13757 SW 152ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-8125
Country	:	US
Telephone Number	:	305-251-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	13757 SW 152ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-8125
Country	:	US
Telephone Number	:	305-251-5390
Fax Number	:

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	05/09/2024

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