DR. FORTUNATO BANZON ABELLO MD NPI 1164411096

NPI Information

NPI: 1164411096
Provider Name: DR. FORTUNATO BANZON ABELLO, MD
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
3015 SAN PEDRO AVE
STE 102
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 737-2262
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DR. Fortunato Banzon Abello, MD is a rehabilitation practitioner in San Antonio, TX. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. DR. Fortunato Banzon Abello, MD NPI is 1164411096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3015 SAN PEDRO AVE
STE 102
SAN ANTONIO, TX
ZIP 78212-204
Phone: (210) 737-2262
Fax: (210) 737-3940

The enumeration date for this NPI number is 10/13/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner		G6252	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B20759	MEDICARE UPIN
2	DE78	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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