Provider Demographics
NPI:1831454123
Name:CABRERA, AMY LEE (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:CABRERA
Suffix:
Gender:F
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:COND. ASTRALIS APT 419
Mailing Address - Street 2:9550 CALLE DIAZ WAY
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-421-8685
Mailing Address - Fax:
Practice Address - Street 1:URB VIRGEN DEL PILAR, CALLE PALMER
Practice Address - Street 2:ESQUINA JAVIER ZEQUEIRA #71
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-0072
Practice Address - Country:US
Practice Address - Phone:939-633-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19030207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine