Provider Demographics
NPI:1639533920
Name:ALBO, EDUARDO
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:ALBO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:EDUARDO
Other - Middle Name:
Other - Last Name:ALBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1623 NE 172ND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1430
Mailing Address - Country:US
Mailing Address - Phone:786-312-7108
Mailing Address - Fax:
Practice Address - Street 1:1623 NE 172ND ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-1430
Practice Address - Country:US
Practice Address - Phone:786-312-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9430320163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse