Provider Demographics
NPI:1528009271
Name:CABRERA, ISRAEL ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ISRAEL
Middle Name:ENRIQUE
Last Name:CABRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1660 SW 150TH RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5768
Mailing Address - Country:US
Mailing Address - Phone:305-510-0471
Mailing Address - Fax:305-220-0457
Practice Address - Street 1:2695 S LE JEUNE RD STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-5840
Practice Address - Country:US
Practice Address - Phone:305-529-5558
Practice Address - Fax:305-529-5854
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0064292207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF75956Medicare UPIN