Provider Demographics
NPI:1801945613
Name:ABUID, MARCELA (MD)
Entity type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:
Last Name:ABUID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARCELA
Other - Middle Name:
Other - Last Name:ABUID-FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1501 E 3RD ST
Mailing Address - Street 2:MEDICAL STAFF COORDINATOR
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-2815
Mailing Address - Country:US
Mailing Address - Phone:970-399-2850
Mailing Address - Fax:970-399-2859
Practice Address - Street 1:1501 E 3RD ST
Practice Address - Street 2:MEDICAL STAFF COORDINATOR
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2815
Practice Address - Country:US
Practice Address - Phone:970-399-2850
Practice Address - Fax:970-399-2859
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR50470174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist