Active NPI
Noel A Cabrera, MD
- Psychiatry Physician
- Fort Lauderdale, FL
National Provider Identifier
1811056203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME72668
- Practice address
- 3521 W Broward Blvd FL 3
Ft Lauderdale, FL 33312 - Phone
- (954) 385-0055
- Fax
- (954) 385-8385
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME72668 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME72668 | FL |
Addresses
Primary practice location
3521 W Broward Blvd FL 3
Ft Lauderdale, FL 33312
Mailing address
3521 W Broward Blvd FL 3
Ft Lauderdale, FL 33312
Phone (954) 385-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N3044204 | Other | FL | WELLCARE |
| 251967400 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1811056203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 W BROWARD BLVD FL 3",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33312",
"telephone_number": "954-385-0055",
"fax_number": "954-385-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 W BROWARD BLVD FL 3",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33312",
"telephone_number": "954-385-0055",
"fax_number": "954-385-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "NOEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME72668",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME72668",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "N3044204",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251967400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.