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NPI Code Detail

MEDICARE: MARIAM MARIA CABRERA APRN

MEDICARE: MARIAM MARIA CABRERA APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11029263FL

General Provider Information

NPI Number : 1164285797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAM MARIA CABRERA APRN
Provider Business Mailing Address
First Line : 21880 STATE ROAD 7
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2804
Country : US
Telephone Number : 561-219-3003
Fax Number :
Provider Business Practice Location Address
First Line : 21880 STATE ROAD 7
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2804
Country : US
Telephone Number : 561-219-3003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2024
Last Update Date : 12/09/2025

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