MEDICARE: EDUARDO FRANCISCO CABRERA VIERA DDS

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	122300000X	Dentist	DN22947	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295194678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO FRANCISCO CABRERA VIERA DDS

Provider Business Mailing Address
First Line	:	9678 FONTAINEBLEAU BLVD #106
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172
Country	:	US
Telephone Number	:	786-554-6108
Fax Number	:

Provider Business Practice Location Address
First Line	:	1544 W 37TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4613
Country	:	US
Telephone Number	:	305-558-9222
Fax Number	:

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

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	10/04/2018

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