Provider Demographics
NPI:1144197765
Name:PABON JUSINO, LESBIA MARISOL
Entity type:Individual
Prefix:
First Name:LESBIA
Middle Name:MARISOL
Last Name:PABON JUSINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 CALLE MAYAGUEZ APT 310
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5128
Mailing Address - Country:US
Mailing Address - Phone:254-458-5834
Mailing Address - Fax:
Practice Address - Street 1:137 CALLE MAYAGUEZ APT 310
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5128
Practice Address - Country:US
Practice Address - Phone:254-458-5834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR251175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty