Provider Demographics
NPI:1114175239
Name:BREA, ISABEL JEANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:JEANNETTE
Last Name:BREA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:JEANNETTE
Other - Last Name:BREA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5064 SW 134TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5511
Mailing Address - Country:US
Mailing Address - Phone:395-229-5544
Mailing Address - Fax:787-473-9002
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:PENN STATE HERSHEY MEDICAL CENTER
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-6039
Practice Address - Fax:717-531-4587
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18191207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine