Provider Demographics
NPI:1235819830
Name:VILTRES ABREUS, MELKIS MALENA
Entity Type:Individual
Prefix:
First Name:MELKIS
Middle Name:MALENA
Last Name:VILTRES ABREUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5313 SAILFISH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2330
Mailing Address - Country:US
Mailing Address - Phone:407-308-1286
Mailing Address - Fax:
Practice Address - Street 1:5313 SAILFISH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2330
Practice Address - Country:US
Practice Address - Phone:407-308-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician