Organization Active NPI

Manuel Abreu MD PA

  • Internal Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1124420542
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME104882 Issued in FL
Legal business name
MANUEL ABREU MD PA
Practice address
6655 Lake Worth Rd
Lake Worth, FL 33467-1507
Phone
(561) 469-8617
Fax
(561) 469-8619
NPI assigned
Sep 17, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Manuel AbreuNPI 1124256797
Title
Owner
Phone
(727) 215-1355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2150002Manuel Abreu, MD PA6655 Lake Worth Road, Lake Worth, FL 33467Certificate of waiverJan 15, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20150324001095 FL Part B Supplier - Clinic/Group Practice 0547587941 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Locations

6655 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 469-8617

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME104882 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

6655 Lake Worth Rd
Lake Worth, FL 33467-1507

Mailing address

PO Box 7831
Delray Beach, FL 33482-7831
Phone (727) 215-1355

Other names 1

NPPES NPI Registry
  • South Florida Personal Physicians Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2025.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1124420542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7831",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334827831",
            "telephone_number": "727-215-1355",
            "fax_number": "561-323-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671507",
            "telephone_number": "561-469-8617",
            "fax_number": "561-469-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL ABREU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-215-1355"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Personal Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.