Provider Demographics
NPI:1063490852
Name:MURILLO, ABEL (MD DABPM FIPP MBA)
Entity Type:Individual
Prefix:
First Name:ABEL
Middle Name:
Last Name:MURILLO
Suffix:
Gender:M
Credentials:MD DABPM FIPP MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 551753
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33355-1753
Mailing Address - Country:US
Mailing Address - Phone:305-646-6953
Mailing Address - Fax:305-646-6954
Practice Address - Street 1:1300 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1233
Practice Address - Country:US
Practice Address - Phone:305-646-6953
Practice Address - Fax:305-646-6954
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86760208D00000X
FLME 86760207LP2900X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57899UOtherMEDICARE PTAN
FL266129200Medicaid
FLAF052AOtherMEDICARE
FL57899UOtherMEDICARE PTAN