Provider Demographics
NPI:1972666170
Name:CABRERA, MARIA VERONICA (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:VERONICA
Last Name:CABRERA
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:CABRERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTRL
Mailing Address - Street 1:10430 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7308
Mailing Address - Country:US
Mailing Address - Phone:305-978-9358
Mailing Address - Fax:
Practice Address - Street 1:117 MAJORCA AVE STE 1-EAST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4547
Practice Address - Country:US
Practice Address - Phone:305-200-3540
Practice Address - Fax:786-552-0028
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7371225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL884132200Medicaid