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Individual

JOSEPH FERNANDEZ CABRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
ATHLETIC TRAINING, URB SANTA JUANITA, CALLE QUINTANA BH9, BAYAMON, PR 00956
(939) 264-1889
Mailing address
PO BOX 12336, PEDIATRICS AND SPORTS MEDICINE PCS, SAN JUAN, PR 00914-0336
(732) 255-3877
(732) 255-3885

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18523
PR
2080S0010X
Pediatric Sports Medicine Physician
18523
PR
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
18523
PR
2083S0010X
Sports Medicine (Preventive Medicine) Physician
25MA08776600
NJ

Other

Enumeration date
06/25/2007
Last updated
07/28/2020
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