Provider Demographics
NPI:1508918251
Name:ABAY, JOSE MIGUEL (PA)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:MIGUEL
Last Name:ABAY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:14518 SW 97TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6927
Mailing Address - Country:US
Mailing Address - Phone:305-382-3238
Mailing Address - Fax:305-408-2355
Practice Address - Street 1:8525 SW 92ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7365
Practice Address - Country:US
Practice Address - Phone:305-630-2909
Practice Address - Fax:305-630-2908
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLFLPA9100182363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical