Provider Demographics
NPI:1295512127
Name:CABRAL INFANZON, RICARDO (DC)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:CABRAL INFANZON
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1366
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-1366
Mailing Address - Country:US
Mailing Address - Phone:787-648-8639
Mailing Address - Fax:
Practice Address - Street 1:A20 CALLE 4
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3033
Practice Address - Country:US
Practice Address - Phone:787-648-8639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH-12706111N00000X
PR930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor