Healthcare Provider Details

I. General information

NPI: 1801291422
Provider Name (Legal Business Name): DR.GUALBERTO RABELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CALLE CERRA CDT DR. GUALBERTO RABELL
SAN JUAN PR
09907-5104
US

IV. Provider business mailing address

900 CALLE CERRA CDT DR. GUALBERTO RABELL
SAN JUAN PR
09907-5104
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-3827
  • Fax: 787-721-3207
Mailing address:
  • Phone: 787-721-3207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS MIGDALIA MENDEZ
Title or Position: DEPARTAMENTO MANAGER
Credential:
Phone: 787-480-3828