Provider Demographics
NPI:1609565126
Name:GABRIEL MEDICAL, LLC.
Entity Type:Organization
Organization Name:GABRIEL MEDICAL, LLC.
Other - Org Name:GABRIEL INTERNATIONAL TRADE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMAO
Authorized Official - Middle Name:C
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-731-1384
Mailing Address - Street 1:2020 S ONEIDA ST STE 14
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2453
Mailing Address - Country:US
Mailing Address - Phone:303-731-1384
Mailing Address - Fax:303-731-6936
Practice Address - Street 1:2020 S ONEIDA ST STE 14
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2453
Practice Address - Country:US
Practice Address - Phone:303-731-1384
Practice Address - Fax:303-731-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition