Provider Demographics
NPI:1912106063
Name:FABELO HUYKE, CHRISTINE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:FABELO HUYKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 AVE DE DIEGO
Mailing Address - Street 2:PLAZA SAN FRANCISCO SUITE 107
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5812
Mailing Address - Country:US
Mailing Address - Phone:787-946-3451
Mailing Address - Fax:
Practice Address - Street 1:201 AVE DE DIEGO
Practice Address - Street 2:PLAZA SAN FRANCISCO SUITE 107
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5812
Practice Address - Country:US
Practice Address - Phone:787-946-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17205208D00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice