Healthcare Provider Details

I. General information

NPI: 1982549432
Provider Name (Legal Business Name): EUNICE ANNE ORTIZ ABALOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 HARRY S. TRUMAN DRIVE NORTH
LARGO MD
20774
US

IV. Provider business mailing address

901 HARRY S. TRUMAN DRIVE NORTH
LARGO MD
20774
US

V. Phone/Fax

Practice location:
  • Phone: 240-677-0236
  • Fax:
Mailing address:
  • Phone: 240-677-0236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: