Provider Demographics
NPI:1336170521
Name:CABRET, ROLDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLDAN
Middle Name:
Last Name:CABRET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AVE SAN PATRICIO
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-2606
Mailing Address - Country:US
Mailing Address - Phone:787-331-0607
Mailing Address - Fax:787-200-2518
Practice Address - Street 1:101 AVE SAN PATRICIO
Practice Address - Street 2:SUITE 1010
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2606
Practice Address - Country:US
Practice Address - Phone:787-331-0607
Practice Address - Fax:787-200-2518
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0029479Medicare PIN