Provider Demographics
NPI:1407965304
Name:FERNANDEZ CABRERA, FE IRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:FE
Middle Name:IRIS
Last Name:FERNANDEZ CABRERA
Suffix:
Gender:F
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:U11 CALLE LEILA ESTE
Mailing Address - Street 2:CUARTA SECCION LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4618
Mailing Address - Country:US
Mailing Address - Phone:787-784-2529
Mailing Address - Fax:787-857-0800
Practice Address - Street 1:CARR 152 KIL 8.1
Practice Address - Street 2:BARRIO QUEBRADILLA
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-0489
Practice Address - Country:US
Practice Address - Phone:787-857-0300
Practice Address - Fax:787-857-0800
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9063208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR400059OtherMMM
PR00351OtherMENONITA
PR7940010OtherHUMANA
PR6606027291OtherMCS
PR771877OtherHGP
PRF81728Medicare UPIN
PR6606027291OtherMCS