Individual
LUIS MARIANO CABRERA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 HIGHWAY 34 E STE 3000, NEWNAN, GA 30265-6430
(770) 252-6767
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
105741
NY
207R00000X
Internal Medicine Physician
Primary
110223
GA
208D00000X
General Practice Physician
105741-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
11/24/2020
Last updated
09/16/2025
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