Provider Demographics
NPI:1508827742
Name:CABRERA, ISABEL ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:ELENA
Last Name: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 1:1633 CALLE NAVARRA
Mailing Address - Street 2:RAMBLA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4043
Mailing Address - Country:US
Mailing Address - Phone:787-284-1124
Mailing Address - Fax:
Practice Address - Street 1:1633 CALLE NAVARRA
Practice Address - Street 2:RAMBLA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4043
Practice Address - Country:US
Practice Address - Phone:787-284-1124
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8906174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8906OtherMEDICAL LICENSE