Provider Demographics
NPI:1477757102
Name:CABRAL, DENYS (PA)
Entity Type:Individual
Prefix:DR
First Name:DENYS
Middle Name:
Last Name:CABRAL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 CALLE PISCIS
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-1620
Mailing Address - Country:US
Mailing Address - Phone:787-349-4781
Mailing Address - Fax:
Practice Address - Street 1:69 CALLE PISCIS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-1620
Practice Address - Country:US
Practice Address - Phone:787-349-4781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR384-PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR131619Medicare UPIN
PR2-3107Medicare ID - Type UnspecifiedM.D.