MEDICARE: DR. MIGUEL A. CABRER PICO 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	207R00000X	Internal Medicine Physician	16230	PR
2	207RC0000X	Cardiovascular Disease Physician	16230	PR

General Provider Information

NPI Number	:	1396941639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIGUEL A. CABRER PICO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 195656
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-5656
Country	:	US
Telephone Number	:	787-406-3737
Fax Number	:	787-545-6116

Provider Business Practice Location Address
First Line	:	564A CALLE JUAN J JIMENEZ
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-3722
Country	:	US
Telephone Number	:	787-545-6112
Fax Number	:	787-545-6116

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	12/20/2021

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