Provider Demographics
NPI:1710291992
Name:ABDUL-HADI, ANWAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:
Last Name:ABDUL-HADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANWAR
Other - Middle Name:
Other - Last Name:ABDUL-HADI MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 260086
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2617
Mailing Address - Country:US
Mailing Address - Phone:787-621-3270
Mailing Address - Fax:
Practice Address - Street 1:2DO PISO CLINICA ESPECIALIDADES PEDIATRICAS
Practice Address - Street 2:MANATI MEDICAL CENTER, CALLE HERNANDEZ CARRION
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18837208600000X, 208D00000X, 2086S0120X
IL036143985208600000X
OK332632086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice