Juan Pablo Cabrera Pulla, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Uconn Health - Outpatient Pavilion
263 Farmington Avenue
Farmington, CT 06030-8031

Phone

(860) 679-4888

Fax

(860) 679-0134

NPI assigned

Apr 28, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jcabrerapulla303515@xdr.hhchealthdirect.org
• Direct secure messaging: tgj9002@direct.nyp.org

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1891316196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCONN SCHOOL OF MEDICINE - GRADUATE MEDICAL EDUCATION",
            "address_2": "263 FARMINGTON AVENURE - LM068",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301921",
            "telephone_number": "860-679-2147",
            "fax_number": "860-679-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCONN HEALTH - OUTPATIENT PAVILION",
            "address_2": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308031",
            "telephone_number": "860-679-4888",
            "fax_number": "860-679-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA PULLA",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrisa Buster
• Virginia Heloise Byars, MD
• Nathaniel Anthony Byrd
• Pooja Bysani, DDS
• Angelina Rose Cabral
• Melissa Marie Cabrera Ruiz
• Maria Priscila Cabrera-Ortiz, DDS
• Angel Joel Cadena Tejada Sr.
• Cadtc Partners LLC
• Cadtc Partners LLP

• Student in an Organized Health Care Education/Training Program in Farmington, CT
• Providers in Farmington, CT by specialty
• Student in an Organized Health Care Education/Training Program in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.