Jose I Cabrera, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME57563 Issued in FL

Practice address

3067 Tamiami TRL
Unit 2
Port Charlotte, FL 33952-6619

Phone

(941) 258-3515

Fax

(941) 258-3519

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6339/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1023109477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 TAMIAMI TRL",
            "address_2": "UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526619",
            "telephone_number": "941-258-3515",
            "fax_number": "941-258-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 TAMIAMI TRL",
            "address_2": "UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526619",
            "telephone_number": "941-258-3515",
            "fax_number": "941-258-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "JOSE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME57563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000305000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278507205",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Butler Jr., MD
• Farzana Y Butt, MD
• Alyssa Breanna Butterbaugh, APRN
• C.a.S Medical Supply, Inc.
• Alicia Cabrera
• Maydara Cabrera
• Oliver Guillermo Cabrera, DDS
• Gil Cadorna
• Maria Victoria De Jesus Cadsawan
• Carin Melanie Calabrese, APRN

• Neurological Surgery Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.