Provider Demographics
NPI:1619414190
Name:ROLANDO CABRERA, M.D. A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ROLANDO CABRERA, M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-424-5550
Mailing Address - Street 1:631 E ALVIN DR
Mailing Address - Street 2:STE. H
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3056
Mailing Address - Country:US
Mailing Address - Phone:831-424-5550
Mailing Address - Fax:831-424-5551
Practice Address - Street 1:631 E ALVIN DR
Practice Address - Street 2:STE. H
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3056
Practice Address - Country:US
Practice Address - Phone:831-424-5550
Practice Address - Fax:831-424-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty