Healthcare Provider Details

I. General information

NPI: 1063216331
Provider Name (Legal Business Name): BARABAR ELYN ABREU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13254 SW 8TH ST
MIAMI FL
33184-1178
US

IV. Provider business mailing address

13254 SW 8TH ST
MIAMI FL
33184-1178
US

V. Phone/Fax

Practice location:
  • Phone: 305-587-6135
  • Fax:
Mailing address:
  • Phone: 305-587-6135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number13BID7727144
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: