Provider Demographics
NPI:1659723948
Name:CABRERA, ROXANNA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4540 SW 152ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3360
Mailing Address - Country:US
Mailing Address - Phone:786-253-9535
Mailing Address - Fax:
Practice Address - Street 1:4540 SW 152ND AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3360
Practice Address - Country:US
Practice Address - Phone:786-253-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07948302F00000X, 251B00000X, 302R00000X, 305S00000X
FLOT21933225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No251B00000XAgenciesCase Management
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305S00000XManaged Care OrganizationsPoint of Service