Provider Demographics
NPI:1285470377
Name:CABRERO, GLORIA VICTORIA
Entity type:Individual
Prefix:MISS
First Name:GLORIA VICTORIA
Middle Name:
Last Name:CABRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W MICHIGAN ST APT 443
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3246
Mailing Address - Country:US
Mailing Address - Phone:954-661-2782
Mailing Address - Fax:
Practice Address - Street 1:310 W MICHIGAN ST APT 443
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3246
Practice Address - Country:US
Practice Address - Phone:954-661-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program