Individual
ANDRES ENRIQUE CABRERA CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3529 W 71ST TER, HIALEAH, FL 33018-7105
(786) 709-5694
Mailing address
3529 W 71ST TER, HIALEAH, FL 33018-7105
(786) 709-5694
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-358
FL
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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