Doctor Name: | DR. IVELISSE FEBRES CABRERA |
NPI Number: | 1295069730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 17753 |
Business Practice Address: | Hc 2 Box 4251 Luquillo, PR - 007739860 |
Business Phone Number: | 7878893496 |
Business Fax Number: | 7878893496 |
Mailing Address: | Hc 2 Box 4251, LUQUILLO |
State: | PR |
Postal Code: | 007739860 |
Phone Number: | 7878893496 |
Fax Number: | 7878893496 |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |