Individual provider Active NPI

Antonio Picache Cabreira, M.D

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1114125630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 27631 Issued in FL
Practice address
2740 Lake Howell LN
483 N. Semoran Blvd Suite 103
Winter Park, FL 32792-5716
Phone
(407) 215-6371
Fax
(132) 127-4032
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 27631 FL Primary

Addresses

Primary practice location

2740 Lake Howell LN
483 N. Semoran Blvd Suite 103
Winter Park, FL 32792-5716

Mailing address

2740 Lake Howell LN
Winter Park, FL 32792-5716
Phone (407) 657-8104

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 27631FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114125630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 LAKE HOWELL LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925716",
            "telephone_number": "407-657-8104",
            "fax_number": "407-657-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 LAKE HOWELL LN",
            "address_2": "483 N. SEMORAN BLVD SUITE 103",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925716",
            "telephone_number": "407-215-6371",
            "fax_number": "132-127-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABREIRA",
        "first_name": "ANTONIO",
        "middle_name": "PICACHE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 27631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.