Provider Demographics
NPI:1598793374
Name:ABREU, MARIA TERESA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:TERESA
Last Name:ABREU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST
Mailing Address - Street 2:SUITE 1112
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-8644
Mailing Address - Fax:305-243-3762
Practice Address - Street 1:1475 NW 12TH AVE
Practice Address - Street 2:CROHN'S AND COLITIS CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-8644
Practice Address - Fax:305-243-3762
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY234163207RG0100X
FLME101004207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280783100Medicaid
G07987Medicare UPIN
FL280783100Medicaid
FLAJ194ZMedicare Oscar/Certification