Provider Demographics
NPI:1699733964
Name:ABRIL, ALEXIS (MD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:ABRIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SW 37TH AVE
Mailing Address - Street 2:STE 903
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2751
Mailing Address - Country:US
Mailing Address - Phone:305-443-5585
Mailing Address - Fax:305-441-9342
Practice Address - Street 1:2601 SW 37TH AVE
Practice Address - Street 2:SUITE 907
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2700
Practice Address - Country:US
Practice Address - Phone:305-443-5585
Practice Address - Fax:305-441-9342
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME34234208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069250600Medicaid
FL96477Medicare ID - Type Unspecified
FL069250600Medicaid