Individual provider Active NPI

Laura Beatriz Cabrera, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1962816157
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18629 Issued in PR
Practice address
114 Calle Eleonor Roosevelt
Suite 1
San Juan, PR 00918-3105
Phone
(787) 763-0091
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18629 PR Primary

Addresses

Primary practice location

114 Calle Eleonor Roosevelt
Suite 1
San Juan, PR 00918-3105

Mailing address

839 Calle Anasco
Plaza Universidad 2000 Apt. 1618
San Juan, PR 00925-2450
Phone (787) 378-4050

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
I20160825001670 PR Order and Referring Only - General PracticePractitioner - General Practice 7810209509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18629PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1962816157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO",
            "address_2": "PLAZA UNIVERSIDAD 2000 APT. 1618",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252450",
            "telephone_number": "787-378-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CALLE ELEONOR ROOSEVELT",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183105",
            "telephone_number": "787-763-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "LAURA",
        "middle_name": "BEATRIZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.