Provider Demographics
NPI:1003496993
Name:IBANEZ CABRERA, ROSELYS (MD)
Entity type:Individual
Prefix:DR
First Name:ROSELYS
Middle Name:
Last Name:IBANEZ CABRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 S STATE ROAD 7 STE 800
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9348
Mailing Address - Country:US
Mailing Address - Phone:561-784-4930
Mailing Address - Fax:
Practice Address - Street 1:2465 S STATE ROAD 7 STE 800
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9348
Practice Address - Country:US
Practice Address - Phone:561-784-4930
Practice Address - Fax:833-625-1360
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME166673208D00000X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program