Provider Demographics
NPI:1891734612
Name:RABELL VILCHES, VILMA (MD)
Entity Type:Individual
Prefix:DR
First Name:VILMA
Middle Name:
Last Name:RABELL VILCHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 CALLE DUKE APT TH9
Mailing Address - Street 2:UNIVERSITY GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4837
Mailing Address - Country:US
Mailing Address - Phone:787-646-8507
Mailing Address - Fax:787-727-1735
Practice Address - Street 1:655 CALLE PAVIA
Practice Address - Street 2:CHINEA BUILDING OFFICE 201
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2218
Practice Address - Country:US
Practice Address - Phone:787-727-8295
Practice Address - Fax:787-727-1735
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4024174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE08244Medicare UPIN