Individual provider Active NPI

Miguel A. Cabrera Caban, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1275509093
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4762 Issued in PR
Practice address
14TH St. Apt. B-204
Quintas de Cupey
San Juan, PR 00926
Phone
(787) 501-9575
NPI assigned
Feb 23, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4762 PR Primary

Addresses

Primary practice location

14TH St. Apt. B-204
Quintas de Cupey
San Juan, PR 00926

Mailing address

14TH St. Apt. B-204
Quintas de Cupey
San Juan, PR 00926
Phone (787) 501-9575

Other identifiers 2

IdentifierTypeStateIssuer
AC7199246OtherPRD.E.A
03445DM-4OtherPRAMSCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4762PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1275509093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14TH ST. APT. B-204",
            "address_2": "QUINTAS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-501-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14TH ST. APT. B-204",
            "address_2": "QUINTAS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-501-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA CABAN",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.E.A",
            "identifier": "AC7199246",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMSCA",
            "identifier": "03445DM-4",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.