Basic Information
Provider Information
NPI: 1205144649
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABRANTES
FirstName: ANARELLA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8474 NW 103RD ST APT 201
Address2:  
City: HIALEAH GARDENS
State: FL
PostalCode: 330164687
CountryCode: US
TelephoneNumber: 7862531330
FaxNumber:  
Practice Location
Address1: 383 W 34TH ST
Address2:  
City: HIALEAH
State: FL
PostalCode: 330124309
CountryCode: US
TelephoneNumber: 3058841744
FaxNumber: 3056140714
Other Information
ProviderEnumerationDate: 09/20/2010
LastUpdateDate: 10/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME143118FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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