Provider Demographics
NPI:1336807437
Name:YAMILA NORIEGA-ABREU, DMD, PLLC
Entity Type:Organization
Organization Name:YAMILA NORIEGA-ABREU, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORIEGA ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-910-1382
Mailing Address - Street 1:3443 TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8159
Mailing Address - Country:US
Mailing Address - Phone:941-629-8187
Mailing Address - Fax:941-629-2498
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental