Provider Demographics
NPI:1487891511
Name:FLEITAS, ABEL ABRAHAM (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:ABRAHAM
Last Name:FLEITAS
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5896 SW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2121
Mailing Address - Country:US
Mailing Address - Phone:786-539-6429
Mailing Address - Fax:
Practice Address - Street 1:7483 SW 24TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1454
Practice Address - Country:US
Practice Address - Phone:305-262-6884
Practice Address - Fax:305-262-6885
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 44211246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other