Provider Demographics
NPI:1649294687
Name:ABREU, MIGUEL ESTEBAN (MD, FACC)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:ESTEBAN
Last Name:ABREU
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 363531
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3531
Mailing Address - Country:US
Mailing Address - Phone:787-763-4494
Mailing Address - Fax:787-765-7511
Practice Address - Street 1:735 AVE PONCE DE LEON
Practice Address - Street 2:TORRE MEDICA AUXILIO MUTUO STE 805
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5022
Practice Address - Country:US
Practice Address - Phone:787-763-4494
Practice Address - Fax:787-765-7511
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13718207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH49266Medicare UPIN
PR20683Medicare ID - Type Unspecified