Healthcare Provider Details

I. General information

NPI: 1851983969
Provider Name (Legal Business Name): ABBATTIS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N-19 CALLE 9 URB. VILLAS DE LOIZA
CANOVANAS PR
00729
US

IV. Provider business mailing address

N-19 CALLE 9 URB. VILLAS DE LOIZA
CANOVANAS PR
00729
US

V. Phone/Fax

Practice location:
  • Phone: 469-793-9245
  • Fax:
Mailing address:
  • Phone: 469-793-9245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: BERTMARIE RODRIGUEZ-CHARLES
Title or Position: OWNER
Credential: CCT
Phone: 469-793-9245