Active NPI
Vianca Cabrera, D.M.D
- Periodontics
- Miami, FL
National Provider Identifier
1003153305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN19684
- Practice address
- 2645 SW 37TH Ave
Miami, FL 33133-2754 - Phone
- (786) 808-2296
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DL11793 | MA | |
| Periodontics | 1223P0300X | DN19684 | FL | Primary |
Addresses
Primary practice location
2645 SW 37TH Ave
Miami, FL 33133-2754
Mailing address
2214 Granada Blvd
Coral Gables, FL 33134-4706
Phone (305) 790-5857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19684 | FL | MD | Periodontist |
| DL11793 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1003153305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 GRANADA BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344706",
"telephone_number": "305-790-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 SW 37TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332754",
"telephone_number": "786-808-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "VIANCA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DL11793",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN19684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.