Organization
JORGE L. CABRERA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L CABRERA MD (PRESIDENT)
(786) 621-9777
Entity
Organization
Contact information
Practice address
175 W 49TH ST, HIALEAH, FL 33012-3711
(786) 621-9777
(786) 621-9601
Mailing address
175 W 49TH ST, HIALEAH, FL 33012-3711
(786) 621-9777
(786) 621-9601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006-500-500
MEDICAID GROUP
FL
05
—
057-143-100
—
FL
Enumeration date
07/19/2012
Last updated
11/29/2012
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