Provider Demographics
NPI:1023166113
Name:ABREU NAVEIRA, ALBA MARIA (MD)
Entity type:Individual
Prefix:
First Name:ALBA
Middle Name:MARIA
Last Name:ABREU NAVEIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALBA
Other - Middle Name:
Other - Last Name:ABREU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6100 BLUE LAGOON DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2079
Mailing Address - Country:US
Mailing Address - Phone:305-398-6100
Mailing Address - Fax:
Practice Address - Street 1:10 NW 42ND AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5473
Practice Address - Country:US
Practice Address - Phone:305-643-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME448662084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043439600Medicaid
FLME44866OtherLICENSE
FLD62273Medicare UPIN
FL34032WMedicare PIN
FL34032VMedicare PIN
FLME44866OtherLICENSE