Provider Demographics
NPI:1790807550
Name:CABRERA, MARGARITA
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 9100
Mailing Address - Street 2:CARR 7780 KM 7.3 DONA ELENA ALTO,
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9613
Mailing Address - Country:US
Mailing Address - Phone:787-875-5211
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 9100
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-9613
Practice Address - Country:US
Practice Address - Phone:787-875-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2855247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other