Provider Demographics
NPI:1871518811
Name:CABRERA, ROLANDO (MD)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:CABRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 E ALVIN DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3056
Mailing Address - Country:US
Mailing Address - Phone:831-424-5550
Mailing Address - Fax:831-424-5551
Practice Address - Street 1:631 E ALVIN DR
Practice Address - Street 2:SUITE H
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3056
Practice Address - Country:US
Practice Address - Phone:831-424-5550
Practice Address - Fax:831-424-5551
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine