Provider Demographics
NPI:1891686705
Name:GOMEZ CABRERA, UBE
Entity type:Individual
Prefix:
First Name:UBE
Middle Name:
Last Name:GOMEZ CABRERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15545 MIAMI LAKEWAY N APT 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-5552
Mailing Address - Country:US
Mailing Address - Phone:786-655-1941
Mailing Address - Fax:
Practice Address - Street 1:15545 MIAMI LAKEWAY N APT 108
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-5552
Practice Address - Country:US
Practice Address - Phone:786-655-1941
Practice Address - Fax:786-655-1941
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician