Healthcare Provider Details

I. General information

NPI: 1881204089
Provider Name (Legal Business Name): VERONICA ALEXANDRA ABRAHAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DD9 CALLE LANCASTER
BAYAMON PR
00956-2737
US

IV. Provider business mailing address

3444 FAIRFAX DR APT 711
ARLINGTON VA
22201-4484
US

V. Phone/Fax

Practice location:
  • Phone: 703-409-6033
  • Fax:
Mailing address:
  • Phone: 703-409-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number24810
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberHSE30115
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number16928-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: