Provider Demographics
NPI:1912463191
Name:ALEJANDRO CABRALES
Entity Type:Organization
Organization Name:ALEJANDRO CABRALES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRALES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:915-996-9866
Mailing Address - Street 1:2300 GEORGE DIETER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3963
Mailing Address - Country:US
Mailing Address - Phone:915-996-9866
Mailing Address - Fax:
Practice Address - Street 1:HERMANOS ESCOBAR 2703-1
Practice Address - Street 2:
Practice Address - City:CD. JUAREZ
Practice Address - State:CHIHUAHUA
Practice Address - Zip Code:32300
Practice Address - Country:MX
Practice Address - Phone:656-326-2505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3645169OtherUNITED HEALTH CARE