Provider Demographics
NPI:1093963480
Name:LABRADA, MABEL (MD)
Entity type:Individual
Prefix:DR
First Name:MABEL
Middle Name:
Last Name:LABRADA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8004 NW 154TH ST # 371
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5814
Mailing Address - Country:US
Mailing Address - Phone:786-945-5455
Mailing Address - Fax:754-335-7057
Practice Address - Street 1:8004 NW 154TH ST # 371
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5814
Practice Address - Country:US
Practice Address - Phone:786-945-5455
Practice Address - Fax:754-335-7057
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104817207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine