Healthcare Provider Details

I. General information

NPI: 1861429409
Provider Name (Legal Business Name): ANTONIO M ABREU-RAMOS M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANTONIO M ABREU MD

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 N CHARLES ST
BALTIMORE MD
21218-4300
US

IV. Provider business mailing address

PO BOX 74008272
CHICAGO IL
60674-8272
US

V. Phone/Fax

Practice location:
  • Phone: 872-231-3162
  • Fax:
Mailing address:
  • Phone: 800-598-9908
  • Fax: 702-977-1496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number15909
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberD0076607.
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number15909
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: