Provider Demographics
NPI:1053020784
Name:ABREU, ALBERTO (CRNA)
Entity type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:
Last Name:ABREU
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7295 MILL POND CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-1772
Mailing Address - Country:US
Mailing Address - Phone:239-537-1782
Mailing Address - Fax:
Practice Address - Street 1:7295 MILL POND CIR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-1772
Practice Address - Country:US
Practice Address - Phone:239-537-1782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9338496163W00000X
FLAPRN11026675367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty