Organization Active NPI

Cabrera Martin Healthcare Inc

  • Family Medicine Physician
  • Santurce, PR
National Provider Identifier
1083658272
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CABRERA MARTIN HEALTHCARE INC
Practice address
Calle Manuel Pavia 611
Suite 213
Santurce, PR 00910
Phone
(787) 722-3944
NPI assigned
Jun 16, 2006
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Luis M Cabrera, M.D.
Title
Director
Phone
(787) 722-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

Calle Manuel Pavia 611
Suite 213
Santurce, PR 00910

Mailing address

PMB 117
1353 St #19 Garden Hills
Guaynabo, PR 00966-0001
Phone (787) 722-3944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080417000049 PR Part B Supplier - Clinic/Group Practice 9436232188 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

611 Calle Pavia
Ste 213
Santurce, PR 00909
Phone (787) 268-1300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1083658272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 117",
            "address_2": "1353 ST #19 GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009660001",
            "telephone_number": "787-722-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL PAVIA 611",
            "address_2": "SUITE 213",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-722-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRERA MARTIN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-722-3944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.