Doctor Name: | DR. MIGUEL A FABIANI |
NPI Number: | 1548465875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 6604 |
Business Practice Address: | 80 Street Puerta Del Cielo Cond. El Pedregal Apto. #6 Humacao, PR - 00791 |
Business Phone Number: | 7878528018 |
Business Fax Number: | 7872858195 |
Mailing Address: | P.o. Box 1752, LAS PIEDRAS |
State: | PR |
Postal Code: | 00771 |
Phone Number: | 7878528018 |
Fax Number: | 7872858195 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |