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NPI Code Detail

MEDICARE: JORGE HANS ABREU

MEDICARE:   JORGE HANS 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
1106S00000XBehavior TechnicianRBT-18-58174FL
2106E00000XAssistant Behavior AnalystFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386189512
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE HANS ABREU
Provider Business Mailing Address
First Line : 720 NW 111TH PL
Second Line : 8
City : MIAMI
State : FL
Zip : 33172-3774
Country : US
Telephone Number : 786-520-9822
Fax Number :
Provider Business Practice Location Address
First Line : 12880 SW 62ND LN
Second Line :
City : MIAMI
State : FL
Zip : 33183-5442
Country : US
Telephone Number : 786-520-9822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2016
Last Update Date : 04/21/2025

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Directions to “ JORGE HANS ABREU ” Practice Location

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