Provider Demographics
NPI:1457703977
Name:CEDENO ABREU, LUIS GABRIEL (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:GABRIEL
Last Name:CEDENO ABREU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 SW 129TH AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1716
Mailing Address - Country:US
Mailing Address - Phone:954-450-9595
Mailing Address - Fax:954-450-9774
Practice Address - Street 1:1 SW 129TH AVE STE 109
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1716
Practice Address - Country:US
Practice Address - Phone:954-450-9595
Practice Address - Fax:954-450-9774
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152531207R00000X
CT062337208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine