Provider Demographics
NPI:1023737434
Name:REJAS CABRERA, DENNIS
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:REJAS CABRERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DENNIS
Other - Middle Name:
Other - Last Name:REJAS CABRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2740 SW 19TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145
Mailing Address - Country:US
Mailing Address - Phone:786-318-1778
Mailing Address - Fax:
Practice Address - Street 1:2740 SW 19TH TERRACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145
Practice Address - Country:US
Practice Address - Phone:786-318-1778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2025-03-14
Deactivation Date:2023-10-14
Deactivation Code:
Reactivation Date:2023-10-23
Provider Licenses
StateLicense IDTaxonomies
FL3024042163WP0807X
FLAPRN11029196363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent