Provider Demographics
NPI:1932652740
Name:VAZQUEZ PABON, ABNER ERIC
Entity Type:Individual
Prefix:
First Name:ABNER
Middle Name:ERIC
Last Name:VAZQUEZ PABON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FF10 COND VILLAS DE PLAYA 2
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-6515
Mailing Address - Country:US
Mailing Address - Phone:787-402-8388
Mailing Address - Fax:
Practice Address - Street 1:AVE. AMALIA PAOLI HI5 7MA SECC LEVITTOWN
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-0094
Practice Address - Country:US
Practice Address - Phone:787-784-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21851208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice