Individual provider Active NPI

Sergio J Cabrera, MD

  • Obstetrics & Gynecology Physician
  • Crestview, FL
National Provider Identifier
1639104425
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0069027 Issued in FL
Practice address
131 E Redstone Ave Ste 102
Crestview, FL 32539-5355
Phone
(850) 398-8940
Fax
(850) 398-8943
NPI assigned
Jul 11, 2006
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0069027 FL Primary

Addresses

Primary practice location

131 E Redstone Ave Ste 102
Crestview, FL 32539-5355

Mailing address

131 E Redstone Ave Ste 102
Crestview, FL 32539-5355
Phone (850) 398-8940

Other identifiers 2

IdentifierTypeStateIssuer
593492937OtherFLFED TAX IDENTIFICATION
254367200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000500 FL Practitioner - Obstetrics/Gynecology 6800076308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069027FLMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: cabreras@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1639104425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE STE 102",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395355",
            "telephone_number": "850-398-8940",
            "fax_number": "850-398-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E REDSTONE AVE STE 102",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395355",
            "telephone_number": "850-398-8940",
            "fax_number": "850-398-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "SERGIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0069027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX IDENTIFICATION",
            "identifier": "593492937",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254367200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.