Provider Demographics
NPI:1467150995
Name:CABRERA VILLALOBOS, YUSDEL (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:YUSDEL
Middle Name:
Last Name:CABRERA VILLALOBOS
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 SW 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-3912
Mailing Address - Country:US
Mailing Address - Phone:786-238-1289
Mailing Address - Fax:
Practice Address - Street 1:2724 SW 22ND AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-3912
Practice Address - Country:US
Practice Address - Phone:786-238-1289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024615363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily