Active NPI
Fernando Antonio Cabrera, D.M.D
- General Practice Dentistry
- Bayamon, PR
National Provider Identifier
1033115191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 830
- Practice address
- Carretera 174 Bloque 21#21Urb. Santa Rosa
Bayamon, PR 00959 - Phone
- (787) 798-4848
- Fax
- (787) 798-0454
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 830 | PR | Primary |
| General Practice Dentistry | 1223G0001X | 23223 | PA |
Addresses
Primary practice location
Carretera 174 Bloque 21#21Urb. Santa Rosa
Bayamon, PR 00959
Mailing address
PO Box 400
Bayamon, PR 00960-0400
Phone (787) 798-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622001369 | PR | Practitioner - Oral Surgery | 0840581831 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23223 | PA | MD | General Practice Dentistry |
| 830 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033115191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009600400",
"telephone_number": "787-798-4848",
"fax_number": "787-798-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 174 BLOQUE 21#21URB. SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-798-4848",
"fax_number": "787-798-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "FERNANDO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "830",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "23223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.