Provider Demographics
NPI:1841412020
Name:CDT DR GUALBERTO RABELL
Entity Type:Organization
Organization Name:CDT DR GUALBERTO RABELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:787-480-3700
Mailing Address - Street 1:P.O. BOX 21405
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928
Mailing Address - Country:US
Mailing Address - Phone:787-480-3876
Mailing Address - Fax:787-977-8401
Practice Address - Street 1:900 CALLE CERRA FINAL ESQUINA CALLE HOARE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-480-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9070138OtherHUMANA INSURANCE
PR9070138Medicaid
PR6604270GROtherCOSVI PRIVADO
PR=========OtherCIGNA EXCLUSIVE
PR=========OtherTRYCARE
PR=========OtherGOLDEN CROSS
PR=========OtherAMERICAN HEALTH
PR7736OtherFIRST MEDICAL IMC
PR=========OtherCOSVIMED CARE
PR=========Medicaid
100-101-9OtherACCA
PR=========OtherCIGNA PREFERRED
PR40076SOtherPREFERRED MEDICAL CHOICE
PR6604270GRMedicaid
PR=========Medicaid
PR=========OtherCIGNA PREFERRED
PR7736OtherFIRST MEDICAL IMC
PR9070138OtherHUMANA INSURANCE
PR=========OtherGOLDEN CROSS
PR=========OtherCIGNA EXCLUSIVE