Provider Demographics
NPI:1942476320
Name:ABRANTES, PEDRO (DPM PA)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:
Last Name:ABRANTES
Suffix:
Gender:M
Credentials:DPM PA
Other - Prefix:DR
Other - First Name:PETE
Other - Middle Name:M
Other - Last Name:ABRANTES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM PA
Mailing Address - Street 1:7190 GALLOWAY ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-598-1114
Mailing Address - Fax:305-598-1113
Practice Address - Street 1:7190 GALLOWAY ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-598-1114
Practice Address - Fax:305-598-1113
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3309213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBH971ZOtherMEDICARE PTAN