Provider Demographics
NPI:1548507981
Name:CABRERA, NATHALIE (DAOM, LAC)
Entity type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 20TH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-1408
Mailing Address - Country:US
Mailing Address - Phone:305-979-2860
Mailing Address - Fax:
Practice Address - Street 1:1410 20TH ST STE 211
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-1408
Practice Address - Country:US
Practice Address - Phone:305-979-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3575171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist