Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 16150 | PR |
NPI | 1265485452 |
---|---|
Provider Name | Dr. Luis A Abreu |
First Address | Isabela, PR 00662-1739 |
Second Address | Isabela, PR 00662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 08/07/2007 |