Active NPI
Jorge L. Cabrera, M.D., P.a.
- Pediatrics Physician
- Hialeah, FL
National Provider Identifier
1558616227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- JORGE L. CABRERA, M.D., P.A.
- Practice address
- 175 W 49TH St
Hialeah, FL 33012-3711 - Phone
- (786) 621-9777
- Fax
- (786) 621-9601
- NPI assigned
- Jul 19, 2012
- Last updated
- Nov 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jorge L Cabrera, MD
- Title
- President
- Phone
- (786) 621-9777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | FL | Primary |
Addresses
Primary practice location
175 W 49TH St
Hialeah, FL 33012-3711
Mailing address
175 W 49TH St
Hialeah, FL 33012-3711
Phone (786) 621-9777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006-500-500 | Other | FL | MEDICAID GROUP |
| 057-143-100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Hialeah, FL
- NPI 1679551055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354147200000",
"number": "1558616227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W 49TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123711",
"telephone_number": "786-621-9777",
"fax_number": "786-621-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W 49TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123711",
"telephone_number": "786-621-9777",
"fax_number": "786-621-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORGE L. CABRERA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-19",
"last_updated": "2012-11-29",
"status": "A",
"authorized_official_last_name": "CABRERA",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-621-9777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "006-500-500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057-143-100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.