Individual ProviderIbrahim Abu-Usbaabdel-FattahGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressC Jose C Vazquez Int, Aibonito, PR 00705(787) 735-7969PECOS EnrollmentBased on the most recent information from CMS, provider Ibrahim Abu-Usbaabdel-Fattah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285851758Provider TypeIndividualFull NameAbu-Usbaabdel-Fattah, IbrahimGenderMaleSole ProprietorYesEnumeration Date4/19/2007Last Updated8/4/2011Contact InformationPractice LocationPractice AddressC Jose C Vazquez Int, Aibonito, PR 00705Phone(787) 735-7969FaxUnlisted FaxMailing LocationMailing AddressP O Box 270161, San Juan, PR 00927Phone(787) 735-7969FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense11946Puerto Rico