Healthcare Provider Details

I. General information

NPI: 1649294687
Provider Name (Legal Business Name): MIGUEL ESTEBAN ABREU M.D., FACC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON TORRE MEDICA AUXILIO MUTUO STE 805
SAN JUAN PR
00917-5022
US

IV. Provider business mailing address

PO BOX 363531
SAN JUAN PR
00936-3531
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-4494
  • Fax: 787-765-7511
Mailing address:
  • Phone: 787-763-4494
  • Fax: 787-765-7511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number13718
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: