DR. FORTUNATO BANZON ABELLO (NPI# 1164411096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164411096 |
| Entity Type | Individual |
| Full Name | DR. FORTUNATO BANZON ABELLO |
| Credential | MD |
| Practice Address |
3015 San Pedro Ave Ste 102 San Antonio TX 78212-2204 |
| Practice Telephone | 2107372262 |
| Practice Fax Number | 2107373940 |
| Mailing Telephone | 2107372262 |
| Mailing Fax Number | 2107373940 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | G6252 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3015 SAN PEDRO AVE STE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316459498 | The Brain Gym, Inc. | Rehabilitation Practitioner | 1270 N Loop 1604 E Ste 1302, San Antonio, TX 78232-1393 | 2017-10-30 |
| 1659785129 | Gwendolyn Bolden | Rehabilitation Practitioner | 4615 Walzem Road, 207, San Antonio, TX 78218 | 2014-06-12 |
| 1689293607 | Gina Suzanne Cruz | Rehabilitation Practitioner | 1270 N Loop 1604 E Ste 1302, San Antonio, TX 78232-1393 | 2020-04-09 |
| 1942661749 | Sequoia Diggs | Rehabilitation Practitioner | 9314 Ryder Dr, San Antonio, TX 78254-2000 | 2016-03-08 |
| 1720116700 | Therapy Links, Inc. | Rehabilitation Practitioner | 15316 Huebner Rd, Suite 202, San Antonio, TX 78248-0987 | 2007-03-01 |
| 1689754830 | Juan B Villalobos | Rehabilitation Practitioner | 4455 Horizon Hill Blvd, San Antonio, TX 78229-2258 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585983 | Trenton Garrett | Rehabilitation Practitioner | 15530 Ella Blvd Apt 218, Houston, TX 77090-5308 | 2020-07-11 |
| 1225657505 | Christopher Juarez | Rehabilitation Practitioner | 11675 Fowler Rd, Atascosa, TX 78002-5783 | 2020-04-15 |
| 1528613098 | Laura Smith | Rehabilitation Practitioner | 6500 N 10th St Ste K1, Mcallen, TX 78504-3960 | 2019-08-01 |
| 1710530639 | Robert Dean Broadhead Jr. | Rehabilitation Practitioner | 10815 Ranch Road 2222 Bldg 3b, Austin, TX 78730-1159 | 2019-07-19 |
| 1356901219 | Chris Ann Webb | Rehabilitation Practitioner | 12301 Main St., Professionals Unit, Houston, TX 77035 | 2019-06-13 |
| 1700445954 | Preventive Fitness LLC | Rehabilitation Practitioner | 2004 S Mason Rd Ste A4, Katy, TX 77450-6253 | 2019-06-11 |
| 1760049332 | Genius In Training Inc | Rehabilitation Practitioner | 13505 Southwest Fwy, Sugar Land, TX 77478-3522 | 2019-05-20 |
| 1649773870 | Bardia Shemiranipour | Rehabilitation Practitioner | 8716 Long Point Rd # 213, Houston, TX 77055-3043 | 2018-03-14 |
| 1295234052 | Brainsmart, LLC | Rehabilitation Practitioner | 10857 Kuykendahl Rd Ste 240, The Woodlands, TX 77382-2935 | 2018-02-07 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.