Provider Demographics
NPI:1679528244
Name:ABREU, RUBEN D (MD)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:D
Last Name:ABREU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4882
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4882
Mailing Address - Country:US
Mailing Address - Phone:956-661-0003
Mailing Address - Fax:956-687-7917
Practice Address - Street 1:4316 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2477
Practice Address - Country:US
Practice Address - Phone:956-994-3278
Practice Address - Fax:956-627-3739
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5753207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01251161OtherRAILROAD MEDICARE
TX044974602Medicaid
TX044974604Medicaid
TX86743FOtherBLUE CROSS/SHIELD
TX8DX386OtherBCBS
TX86743FOtherBLUE CROSS/SHIELD
G75806Medicare UPIN
TX317449YVKAMedicare PIN