Provider Demographics
NPI:1689963761
Name:CABRERA, ANICETO R (AP)
Entity Type:Individual
Prefix:
First Name:ANICETO
Middle Name:R
Last Name:CABRERA
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 SW 8TH ST STE 208
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4673
Mailing Address - Country:US
Mailing Address - Phone:786-418-9792
Mailing Address - Fax:305-456-9963
Practice Address - Street 1:7175 SW 8TH ST STE 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4673
Practice Address - Country:US
Practice Address - Phone:786-418-9792
Practice Address - Fax:305-456-9963
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA59658225700000X
FLAP3319171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist