Healthcare Provider Details
I. General information
NPI: 1063490852
Provider Name (Legal Business Name): ABEL MURILLO MD. DABPM. FIPP. MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/03/2006
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 SW 27TH AVE
MIAMI FL
33145-1233
US
IV. Provider business mailing address
16699 COLLINS AVE APT 3303
SUNNY ISLES BEACH FL
33160-5422
US
V. Phone/Fax
- Phone: 305-646-6953
- Fax: 305-646-6954
- Phone: 305-646-6953
- Fax: 305-646-6954
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | ME 86760 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | ME 86760 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | ME86760 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | ME 86760 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: