MEDICARE: DR. ANTONIO DE THOMAS-CABRERA 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	2085R0202X	Diagnostic Radiology Physician	011026	PR
2	2085U0001X	Diagnostic Ultrasound Physician	011026	PR

General Provider Information

NPI Number	:	1255318986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO DE THOMAS-CABRERA M.D.

Provider Business Mailing Address
First Line	:	400 AVE FD ROOSEVELT
Second Line	:	CLINICA LAS AMERICAS
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2129
Country	:	US
Telephone Number	:	787-765-7713
Fax Number	:	787-250-7967

Provider Business Practice Location Address
First Line	:	400 AVE FD ROOSEVELT
Second Line	:	CLINICA LAS AMERICAS
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2129
Country	:	US
Telephone Number	:	787-765-7713
Fax Number	:	787-250-7967

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

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	09/11/2025

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