Individual provider Active NPI

Carlos A Cabrera, MD

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1902893316
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12307 Issued in PR
Practice address
RR 1 Box 11774
Manati, PR 00674-9721
Phone
(787) 884-5584
Fax
(787) 884-5584
NPI assigned
Sep 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12307 PR Primary

Addresses

Primary practice location

RR 1 Box 11774
Manati, PR 00674-9721

Mailing address

RR 1 Box 11774
Manati, PR 00674-9721
Phone (787) 884-5584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20050127000010 PR Practitioner - Family Practice 3870543812 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
San Juan Bautista School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Bo Sabana Seca
Carr 668
Manati, PR 00674-4634

D8 Calle
Suite 3
Manati, PR 00674-5418
Phone (787) 884-5584

RR 1 Box
Suite 11774
Manati, PR 00674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9027PRMDPharmacy Technician
12307PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902893316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 11774",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749721",
            "telephone_number": "787-884-5584",
            "fax_number": "787-884-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 11774",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749721",
            "telephone_number": "787-884-5584",
            "fax_number": "787-884-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.