Provider Demographics
NPI:1336802339
Name:CABRERA-MORA, ONADIA CRISTOBALINA
Entity Type:Individual
Prefix:
First Name:ONADIA
Middle Name:CRISTOBALINA
Last Name:CABRERA-MORA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 WILLIAMS DR STE 270
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-3263
Mailing Address - Country:US
Mailing Address - Phone:908-494-2222
Mailing Address - Fax:
Practice Address - Street 1:2508 WILLIAMS DR STE 270
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-3263
Practice Address - Country:US
Practice Address - Phone:908-494-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist