Healthcare Provider Details

I. General information

NPI: 1770540734
Provider Name (Legal Business Name): RITA ABISLAIMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: RITA ABISLAIMAN MD,PA

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NW 14TH ST SUITE 503 B
MIAMI FL
33125-1673
US

IV. Provider business mailing address

PO BOX 565939
MIAMI FL
33256-5939
US

V. Phone/Fax

Practice location:
  • Phone: 305-326-1140
  • Fax: 305-326-1460
Mailing address:
  • Phone: 305-326-1140
  • Fax: 305-326-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME0072159
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberME0072159
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: