Provider Demographics
NPI:1669114914
Name:LIMARDO, ABNER ANDRES
Entity type:Individual
Prefix:
First Name:ABNER
Middle Name:ANDRES
Last Name:LIMARDO
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:PO BOX 11199
Mailing Address - Street 2:CAPARRA HEIGHTS STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1199
Mailing Address - Country:US
Mailing Address - Phone:787-236-3893
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSIDAD CENTRAL DEL CARIBE
Practice Address - Street 2:AVE. LAUREL, SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-798-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program