1427110659 NPI number — FRANCISCO C. GONZALEZ-ABREU, MD

Table of content: (NPI 1427110659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427110659 NPI number — FRANCISCO C. GONZALEZ-ABREU, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANCISCO C. GONZALEZ-ABREU, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427110659
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1321 NW 14TH ST
Provider Second Line Business Mailing Address:
SUITE 302-W
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33125-1673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-547-1444
Provider Business Mailing Address Fax Number:
305-547-6787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1321 NW 14TH ST
Provider Second Line Business Practice Location Address:
SUITE 302-W
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33125-1673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-547-1444
Provider Business Practice Location Address Fax Number:
305-547-6787
Provider Enumeration Date:
12/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GONZALEZ-ABREU
Authorized Official First Name:
FRANCISCO
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
305-547-1444

Provider Taxonomy Codes

  • Taxonomy code: 207QA0505X , with the licence number:  ME0027427 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 002208 . This is a "AVMED PROVIDER NUMBER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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