Provider Demographics
NPI:1467438549
Name:ABACAN, CYNTHIA CAPARROS (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:CAPARROS
Last Name:ABACAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2692 S AVENUE B STE 1
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7060
Mailing Address - Country:US
Mailing Address - Phone:928-783-5857
Mailing Address - Fax:
Practice Address - Street 1:4722 EAGLERIDGE CIR
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2344
Practice Address - Country:US
Practice Address - Phone:719-595-2120
Practice Address - Fax:719-595-7907
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0074215207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0A37669Medicare UPIN