MEDICARE: DR. DENISE 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	207Q00000X	Family Medicine Physician	ME81824	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	187504	OTHER	FL	AMERIGROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	03041	OTHER	FL	BLUE CROSS BLUE SHEILD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912961293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE CABRERA M.D.

Provider Business Mailing Address
First Line	:	6111 SW 136TH AVE
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33330-3703
Country	:	US
Telephone Number	:	305-773-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	13001 N KENDALL DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1708
Country	:	US
Telephone Number	:	786-596-3800
Fax Number	:	786-533-9232

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	03/22/2021

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