Provider Demographics
NPI:1952822546
Name:NORIEGA ABREU, YAMILA (DMD)
Entity Type:Individual
Prefix:
First Name:YAMILA
Middle Name:
Last Name:NORIEGA ABREU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 BURGOS DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2713
Mailing Address - Country:US
Mailing Address - Phone:908-910-1382
Mailing Address - Fax:
Practice Address - Street 1:3443 TAMIAMI TRL STE F
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8159
Practice Address - Country:US
Practice Address - Phone:941-629-8187
Practice Address - Fax:941-629-2498
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-04
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN228391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice