Provider Demographics
NPI:1326636523
Name:ABREU, LISBET (LA)
Entity Type:Individual
Prefix:
First Name:LISBET
Middle Name:
Last Name:ABREU
Suffix:
Gender:F
Credentials:LA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 NW 7TH ST APT 404
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4031
Mailing Address - Country:US
Mailing Address - Phone:786-247-1933
Mailing Address - Fax:305-554-9032
Practice Address - Street 1:8045 NW 7TH ST APT 404
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4031
Practice Address - Country:US
Practice Address - Phone:786-247-1933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1178028OtherPHARMACY TECKNICHIAN