Pascual Abenoza, MD

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

ME66090 Issued in FL

Practice address

895 SW 30TH Ave Ste 101
Pompano Beach, FL 33069-4887

Phone

(800) 330-6770

Fax

(800) 330-6770

NPI assigned

Dec 6, 2005

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatopathology Laboratory Pascual Abenoza MD LLC

  • Clinical Medical Laboratory
  • Coral Springs, FL
  • NPI 1760761985
  Authorized official Same address or phone
• Kilpatrick Pathology PA

  • Clinical Medical Laboratory
  • King, NC
  • NPI 1124035316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194709717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657613",
            "telephone_number": "954-263-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SW 30TH AVE STE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694887",
            "telephone_number": "800-330-6770",
            "fax_number": "800-330-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Coral Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330657613",
            "country_code": "US",
            "telephone_number": "954-263-6428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABENOZA",
        "first_name": "PASCUAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME66090",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME66090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252096600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Abadjian
• Melissa Elizabeth Abban
• Abbott Chiropractic Services, Inc.
• Linda Carol Abbott, D.C.
• Heidi Sherif Abdelaziz
• Arman Abovyan, M.D.
• Mari Abovyan, D.C.
• Ajith Simon Abraham, OTR/L
• Yocasta W Abreu Alcantara
• Absolute Home Health Services Inc

• Dermatopathology (Pathology) Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.