Provider Demographics
NPI:1730284621
Name:PLANELL PABON, UBALDO (MD)
Entity Type:Individual
Prefix:DR
First Name:UBALDO
Middle Name:
Last Name:PLANELL PABON
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 1:45 CALLE PEDRO ALBIZU CAMPOS
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-2106
Mailing Address - Country:US
Mailing Address - Phone:787-897-1038
Mailing Address - Fax:
Practice Address - Street 1:45 CALLE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-2106
Practice Address - Country:US
Practice Address - Phone:787-897-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13936208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice