Provider Demographics
NPI:1841956091
Name:CABRERA, YOLANDA (APRN)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11260 W 35TH WAY APT 2110
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2166
Mailing Address - Country:US
Mailing Address - Phone:786-942-3148
Mailing Address - Fax:
Practice Address - Street 1:11260 W 35TH WAY APT 2110
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2166
Practice Address - Country:US
Practice Address - Phone:786-942-3148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016328163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty