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NPI Code Detail

MEDICARE: PATRICIA CABRAL M.D.

MEDICARE: PATRICIA CABRAL 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
1207Q00000XFamily Medicine Physician43703WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17198603OTHERWIAETNA
24096181OTHERWICIGNA
32109418OTHERWIFIRST HEALTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194720706
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA CABRAL M.D.
Provider Business Mailing Address
First Line : 2906 S 20TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3732
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Provider Business Practice Location Address
First Line : 2906 S 20TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3732
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/07/2023

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