MEDICARE: RICARDO TEIXEIRA ABREU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1124980842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO TEIXEIRA ABREU

Provider Business Mailing Address
First Line	:	181 THORNELL RD
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-3629
Country	:	US
Telephone Number	:	585-360-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-2913
Country	:	US
Telephone Number	:	585-275-5051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ RICARDO TEIXEIRA ABREU ” Practice Location

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