Provider Demographics
NPI:1568755858
Name:CABRERA, EMILIA (AP, DOM, NCCAOM)
Entity Type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:AP, DOM, NCCAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10078 E BAY HARBOR DR
Mailing Address - Street 2:# 78 C
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1540
Mailing Address - Country:US
Mailing Address - Phone:786-546-2780
Mailing Address - Fax:
Practice Address - Street 1:1065 KANE CONCOURSE
Practice Address - Street 2:STE 100
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2100
Practice Address - Country:US
Practice Address - Phone:786-546-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2850171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist