Provider Demographics
NPI:1023095403
Name:ABELLA, MANUEL E (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:E
Last Name:ABELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8200 SW 117TH AVENUE
Mailing Address - Street 2:SUITE 414
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3582
Mailing Address - Country:US
Mailing Address - Phone:305-221-6161
Mailing Address - Fax:305-559-2259
Practice Address - Street 1:8200 SW 117TH AVENUE
Practice Address - Street 2:SUITE 414
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3582
Practice Address - Country:US
Practice Address - Phone:305-221-6161
Practice Address - Fax:305-559-2259
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME53821207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062725900Medicaid
FLE49324Medicare UPIN
FL062725900Medicaid