MEDICARE: GALINA MIGUEL CABRERA

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	104100000X	Social Worker
2	106S00000X	Behavior Technician	RBT-20-130712

General Provider Information

NPI Number	:	1750732491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GALINA MIGUEL CABRERA

Provider Business Mailing Address
First Line	:	26148 SW 136TH CT
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-2575
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13173 SW 221ST STREET RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33170-4447
Country	:	US
Telephone Number	:	786-424-3734
Fax Number	:

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

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	11/07/2024

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