Provider Demographics
NPI:1689755126
Name:CABRERA DELGADO, FERNANDO J (MD)
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:J
Last Name:CABRERA DELGADO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:EDIFICIO MEDICO SANTA CRUZ # 73,
Mailing Address - Street 2:SUITE 307,
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6919
Mailing Address - Country:US
Mailing Address - Phone:787-740-8040
Mailing Address - Fax:787-740-8060
Practice Address - Street 1:73 CALLE SANTA CRUZ
Practice Address - Street 2:SUITE 307,
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6910
Practice Address - Country:US
Practice Address - Phone:787-740-8040
Practice Address - Fax:787-740-8060
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR7093204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR99299OtherTRIPLESSS