Provider Demographics
NPI:1275136186
Name:CABRERA, FRANCISCO NOE
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:NOE
Last Name:CABRERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 CHESAPEAKE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4467
Mailing Address - Country:US
Mailing Address - Phone:202-803-1308
Mailing Address - Fax:
Practice Address - Street 1:4424 CHESAPEAKE ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4467
Practice Address - Country:US
Practice Address - Phone:202-803-1308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC70613197Medicaid