MEDICARE: DR. MANUEL ABREU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME 104882	FL
2	207R00000X	Internal Medicine Physician	ME104882	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME104882	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1124256797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL ABREU MD

Provider Business Mailing Address
First Line	:	15907 FORSYTHIA CIR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-9168
Country	:	US
Telephone Number	:	727-215-1355
Fax Number	:

Provider Business Practice Location Address
First Line	:	6655 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-1507
Country	:	US
Telephone Number	:	561-469-8617
Fax Number	:	561-469-8619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	01/12/2024

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