Active NPI
Fabiola Pabon
- Dermatology Physician
- Guaynabo, PR
National Provider Identifier
1649910274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 37014-R
- Practice address
- Villas Reales 323 Via Escorial
Guaynabo, PR 00969 - Phone
- (787) 399-4047
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16686 | PR | |
| Dermatology Physician | 207N00000X | 37014-R | PR | Primary |
Addresses
Primary practice location
Villas Reales 323 Via Escorial
Guaynabo, PR 00969
Mailing address
PO Box 6862
San Juan, PR 00914-6862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37014-R | PR | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1649910274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6862",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009146862",
"fax_number": "813-336-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLAS REALES 323 VIA ESCORIAL",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-399-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "FABIOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16686",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PR",
"license": "37014-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.