Healthcare Provider Details

I. General information

NPI: 1689890998
Provider Name (Legal Business Name): C. RABEL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 552, LOS ROSALES SOLAR 1, PLANTA BAJA
JUANA DIAZ PR
00795-0625
US

IV. Provider business mailing address

CARR. 552, LOS ROSALES, SOLAR 1, PLANTA BAJA
JUANA DIAZ PR
00795-0625
US

V. Phone/Fax

Practice location:
  • Phone: 787-837-4684
  • Fax: 787-837-4684
Mailing address:
  • Phone: 787-837-4684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RAMON L ZAYAS-RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-837-4684