Provider Demographics
NPI:1285328740
Name:CABRERA, PRISCILLA (BS)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 YACOBIAN PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-7881
Mailing Address - Country:US
Mailing Address - Phone:978-397-7188
Mailing Address - Fax:
Practice Address - Street 1:3740 YACOBIAN PL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-7881
Practice Address - Country:US
Practice Address - Phone:978-397-7188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management