Provider Demographics
NPI:1003200395
Name:CABRERA, ERIK ANTONY (MD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:ANTONY
Last Name:CABRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 SW 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7403
Mailing Address - Country:US
Mailing Address - Phone:053-107-8443
Mailing Address - Fax:082-132-7762
Practice Address - Street 1:9500 SW 79TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7403
Practice Address - Country:US
Practice Address - Phone:305-310-7844
Practice Address - Fax:208-213-2776
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME1358902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program