| Ricardo Cabrera Md Plc | |
|
7250 Dixie Hwy Suite 100 Clarkston MI 48346-5108 | |
| (248) 620-3500 | |
| (248) 620-3503 |
| Full Name | Ricardo Cabrera Md Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 7250 Dixie Hwy, Clarkston, Michigan |
| Authorized Official Name and Position | Ricardo Q Cabrera (OWNER) |
| Authorized Official Contact | 2486203500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Cabrera Md Plc 7250 Dixie Hwy Suite 100 Clarkston MI 48346-5108 Ph: (248) 620-3500 | Ricardo Cabrera Md Plc 7250 Dixie Hwy Suite 100 Clarkston MI 48346-5108 Ph: (248) 620-3500 |
| NPI Number | 1962693242 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 06/25/2021 |
| Medicare PECOS PAC ID | 4183725575 |
|---|---|
| Medicare Enrollment ID | O20070806000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962693242 | NPI | - | NPPES |
| 4458109 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301055315 (Michigan) | Primary |
| Provider Name | Ricardo Q Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801875943 PECOS PAC ID: 2668468141 Enrollment ID: I20040421000777 |
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