Provider Demographics
NPI:1952407025
Name:CABRERA, DULCE C (MD)
Entity Type:Individual
Prefix:
First Name:DULCE
Middle Name:C
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 1:401 CORAL WAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4930
Mailing Address - Country:US
Mailing Address - Phone:305-445-2945
Mailing Address - Fax:305-445-7231
Practice Address - Street 1:401 CORAL WAY
Practice Address - Street 2:SUITE 206
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4930
Practice Address - Country:US
Practice Address - Phone:305-445-2945
Practice Address - Fax:305-445-7231
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL84376207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE7709ZMedicare ID - Type Unspecified
FLH65928Medicare UPIN