Provider Demographics
NPI:1649501735
Name:CABRERA, JESUS ARTURO (MD)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:ARTURO
Last Name:CABRERA
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 1:1717 PARKSHORE DR
Mailing Address - Street 2:SUITE 1107
Mailing Address - City:ARDEN HILLS
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3926
Mailing Address - Country:US
Mailing Address - Phone:651-442-0553
Mailing Address - Fax:
Practice Address - Street 1:1717 PARKSHORE DR
Practice Address - Street 2:SUITE 1107
Practice Address - City:ARDEN HILLS
Practice Address - State:MN
Practice Address - Zip Code:55112-3926
Practice Address - Country:US
Practice Address - Phone:651-442-0553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist