Provider Demographics
NPI:1780977199
Name:CABRANES, HEDDA
Entity type:Individual
Prefix:
First Name:HEDDA
Middle Name:
Last Name:CABRANES
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:BI19 CALLE 34
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-4139
Mailing Address - Country:US
Mailing Address - Phone:787-903-9864
Mailing Address - Fax:787-799-0502
Practice Address - Street 1:BI19 CALLE 34
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-4139
Practice Address - Country:US
Practice Address - Phone:787-903-9864
Practice Address - Fax:787-799-0502
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist