Individual provider Active NPI

Roberto Cabrera, H.A.S

  • Hearing Instrument Specialist
  • Jacksonville, FL
National Provider Identifier
1104113547
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS4383 Issued in FL
Practice address
12341 Yellow Bluff Rd Ste 4
Jacksonville, FL 32226-2014
Phone
(904) 296-0098
Fax
(904) 696-3422
NPI assigned
Jul 6, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS4383 FL Primary

Addresses

Primary practice location

12341 Yellow Bluff Rd Ste 4
Jacksonville, FL 32226-2014

Mailing address

7205 Bonneval Rd
Jacksonville, FL 32256-7565
Phone (904) 296-0098

Other practice location 1

7205 Bonneval Rd
Jacksonville, FL 32256-7565
Phone (904) 296-0098

Other practice location 2

14810 Old Saint Augustine Rd Ste 103
Jacksonville, FL 32258-2558
Phone (904) 296-0098

Other practice location 3

8833 Perimeter Park Blvd Ste 403
Jacksonville, FL 32216-1110
Phone (904) 296-0098

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

LicenseStateTypeSpecialty
AS4383FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104113547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 BONNEVAL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567565",
            "telephone_number": "904-296-0098",
            "fax_number": "904-861-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12341 YELLOW BLUFF RD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262014",
            "telephone_number": "904-296-0098",
            "fax_number": "904-696-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 Bonneval Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567565",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "fax_number": "904-861-3899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14810 Old Saint Augustine Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582558",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "fax_number": "904-346-0559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8833 Perimeter Park Blvd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322161110",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "fax_number": "904-996-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ROBERTO",
        "credential": "H.A.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.