Provider Demographics
NPI:1003966953
Name:CABRERA, PEDRO GILBERTO (DMD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:GILBERTO
Last Name:CABRERA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CALLE JOSE D CANDELAS
Mailing Address - Street 2:MANATI MEDICAL PLAZA SUITE # 103
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5507
Mailing Address - Country:US
Mailing Address - Phone:787-884-2924
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE JOSE D CANDELAS
Practice Address - Street 2:MANATI MEDICAL PLAZA SUITE # 103
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5507
Practice Address - Country:US
Practice Address - Phone:787-884-2924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR023091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics