Provider Demographics
NPI:1598428013
Name:ABREU MORALES, RICHAR
Entity Type:Individual
Prefix:
First Name:RICHAR
Middle Name:
Last Name:ABREU MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-1955
Mailing Address - Country:US
Mailing Address - Phone:786-260-4167
Mailing Address - Fax:
Practice Address - Street 1:960 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-1955
Practice Address - Country:US
Practice Address - Phone:786-260-4167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)