Provider Demographics
NPI:1821768870
Name:CABRERA LOPEZ, ROSABEL AMELIA
Entity Type:Individual
Prefix:
First Name:ROSABEL
Middle Name:AMELIA
Last Name:CABRERA LOPEZ
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 1:2930 NW 71ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-5934
Mailing Address - Country:US
Mailing Address - Phone:786-546-8797
Mailing Address - Fax:
Practice Address - Street 1:2930 NW 71ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-5934
Practice Address - Country:US
Practice Address - Phone:786-546-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician