Individual
IBRAHIM ABU-USBAABDEL-FATTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
C JOSE C VAZQUEZ INT, AIBONITO, PR 00705
(787) 735-7969
Mailing address
P O BOX 270161, SAN JUAN, PR 00927
(787) 735-7969
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11946
PR
Other
Enumeration date
04/19/2007
Last updated
08/04/2011
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