Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME53821 | FL |
NPI | 1023095403 |
---|---|
Provider Name | Dr. Manuel E Abella |
First Address | Miami, FL 33183-3582 |
Second Address | Miami, FL 33183-3582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062725900 | (05) | FL |
E49324 | (02) | FL |