Healthcare Provider Details

I. General information

NPI: 1194803205
Provider Name (Legal Business Name): FABIAN AURIGNAC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2056 CALLE TURQUESA
GUAYNABO PR
00969
US

IV. Provider business mailing address

2056 CALLE TURQUESA
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 301-955-6796
  • Fax:
Mailing address:
  • Phone: 787-242-7985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number19629
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: