| Doctor Name: | DR. MONICA YAMILE OVALLE ABUABARA |
| NPI Number: | 1750509543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 01051098A |
| Business Practice Address: | 1300 State St Suite 2 F La Porte, IN - 463503185 |
| Business Phone Number: | 2193268883 |
| Business Fax Number: | 2193268882 |
| Mailing Address: | 3565 W Johnson Rd, LA PORTE |
| State: | IN |
| Postal Code: | 463508577 |
| Phone Number: | 2193268883 |
| Fax Number: | 2193268882 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01051098A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |