Provider Demographics
NPI:1164058160
Name:CABRERA, VERONICA (MT)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CAMINO DE LOS AUSUBOS
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3600
Mailing Address - Country:US
Mailing Address - Phone:787-222-2090
Mailing Address - Fax:
Practice Address - Street 1:210 CAMINO DE LOS AUSUBOS
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-3600
Practice Address - Country:US
Practice Address - Phone:787-222-2090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR04115654246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist