Provider Demographics
NPI:1780663310
Name:CABRERA-RODRIGUEZ, PILAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:PILAR
Middle Name:A
Last Name:CABRERA-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND SANTA JUANITA
Mailing Address - Street 2:UU 1 CALLE 39
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4770
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 CALLE MARGINAL
Practice Address - Street 2:E 55 CALLE MARGINAL
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5552
Practice Address - Country:US
Practice Address - Phone:787-779-8311
Practice Address - Fax:787-995-6592
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11842174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH31920Medicare UPIN
PR89122Medicare ID - Type Unspecified