Provider Demographics
NPI:1790996189
Name:CHABRIEL, GUILLERMO (MD)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:
Last Name:CHABRIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 AVE SAN IGNACIO
Mailing Address - Street 2:BOX 89 BALCONES SANTA MARIA H 303
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4706
Mailing Address - Country:US
Mailing Address - Phone:787-782-8131
Mailing Address - Fax:
Practice Address - Street 1:1500 AVE SAN IGNACIO
Practice Address - Street 2:BOX 89 BALCONES SANTA MARIA H 303
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4706
Practice Address - Country:US
Practice Address - Phone:787-782-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6007208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice