Healthcare Provider Details

I. General information

NPI: 1932652740
Provider Name (Legal Business Name): ABNER ERIC VAZQUEZ PABON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. AMALIA PAOLI HI5 7MA SECC LEVITTOWN
TOA BAJA PR
00949-0094
US

IV. Provider business mailing address

FF10 COND VILLAS DE PLAYA 2
DORADO PR
00646-6515
US

V. Phone/Fax

Practice location:
  • Phone: 787-784-9595
  • Fax:
Mailing address:
  • Phone: 787-402-8388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0301X
TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
License Number21851
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: