Provider Demographics
NPI:1740271923
Name:CABRERA-OTERO, SYLVIA (MT MD MPH FAAFP)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:CABRERA-OTERO
Suffix:
Gender:F
Credentials:MT MD MPH FAAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOMAS VERDES 2-22 AVE LAUREL
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-798-5175
Mailing Address - Fax:787-778-1505
Practice Address - Street 1:LOMAS VERDES 2-22 AVE LAUREL
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-798-5175
Practice Address - Fax:787-778-1505
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR26341Medicare ID - Type Unspecified
C77410Medicare UPIN