Enrique Cabrera

Individual provider Active NPI Physical Therapist · Village of Palmetto Bay, FL

NPI 1720137086 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720137086
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTA847 (FL)
Practice address
18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6422
Phone
(305) 251-7477
Fax
(305) 251-7477
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA847FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healis Rehabilitation Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTA847 FL Yes

Addresses

Primary practice location

18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6422

Mailing address

18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6422
Phone (305) 251-7477

Other providers in Village of Palmetto Bay, FL

All providers in Village of Palmetto Bay, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.