Individual provider Active NPI

Maria Del Carmen Cabrera

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1811618135
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021569 Issued in FL
Practice address
3277 SW 4TH St
Miami, FL 33135-1102
Phone
(786) 678-1840
NPI assigned
Sep 6, 2022
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11021569 FL Primary

Addresses

Primary practice location

3277 SW 4TH St
Miami, FL 33135-1102

Mailing address

3277 SW 4TH St
Miami, FL 33135-1102

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727000745 FL Practitioner - Nurse Practitioner 4385005156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11021569FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Polanco MD PA CurrentSince Apr 6, 2023 Accepting new patients

Locations

11760 SW 40th St
Ste 701
Miami, FL 33175
Phone (305) 227-9339

8501 SW 124th Ave
Ste 102A
Miami, FL 33183
Phone (305) 228-4422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1811618135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 SW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 SW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351102",
            "telephone_number": "786-678-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.