Provider Demographics
NPI:1275992224
Name:ABREU, MASIELY (RDCS, RVT)
Entity Type:Individual
Prefix:MISS
First Name:MASIELY
Middle Name:
Last Name:ABREU
Suffix:
Gender:F
Credentials:RDCS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 415064
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-5064
Mailing Address - Country:US
Mailing Address - Phone:305-915-2246
Mailing Address - Fax:
Practice Address - Street 1:1900 N BAYSHORE DR # 1A162
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3001
Practice Address - Country:US
Practice Address - Phone:305-915-2246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2471V0105X
FL1624742471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography