Luis Mariano Cabrera Hernandez, MD
Internal Medicine in Newnan, GA. Individual provider (NPI-1).
NPI number1922602697
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1922602697
- Entity type
- Individual (NPI-1)
- Name
- Luis Mariano Cabrera Hernandez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2020
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 110223 | GA | Yes |
| 208D00000X | General Practice | 105741-01 | NY | |
| 207R00000X | Internal Medicine | 105741 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY |
Practice location
1825 Highway 34 E Ste 3000Newnan, GA 30265-6430
Phone 770-252-6767
Mailing address
327 Beach 19th StFar Rockaway, NY 11691-4423
Phone 718-869-7000
Other practice locations
327 Beach 19th St
Far Rockaway, NY 11691-4423
Far Rockaway, NY 11691-4423
Phone 718-869-7672 · Fax 718-869-8530
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