Provider Demographics
NPI:1295069730
Name:FEBRES CABRERA, IVELISSE (MD)
Entity type:Individual
Prefix:DR
First Name:IVELISSE
Middle Name:
Last Name:FEBRES CABRERA
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:HC 2 BOX 4251
Mailing Address - Street 2:
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-9860
Mailing Address - Country:US
Mailing Address - Phone:787-889-3496
Mailing Address - Fax:787-889-3496
Practice Address - Street 1:HC 2 BOX 4251
Practice Address - Street 2:
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-9860
Practice Address - Country:US
Practice Address - Phone:787-889-3496
Practice Address - Fax:787-889-3496
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17753208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice