Provider Demographics
NPI:1831256940
Name:CABRERA, SYLVIA ENID (MT)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ENID
Last Name:CABRERA
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1389
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1389
Mailing Address - Country:US
Mailing Address - Phone:787-878-0948
Mailing Address - Fax:
Practice Address - Street 1:CARR 681 KM 4 4 BO ISLOTE
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-0948
Practice Address - Fax:787-878-0948
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR941246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
31307Medicare ID - Type Unspecified