Provider Demographics
NPI:1912009549
Name:ROSABAL, ADABELL (M D)
Entity Type:Individual
Prefix:
First Name:ADABELL
Middle Name:
Last Name:ROSABAL
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CALLE REY EDUARDO
Mailing Address - Street 2:LA VILLA DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3257
Mailing Address - Country:US
Mailing Address - Phone:787-731-1349
Mailing Address - Fax:
Practice Address - Street 1:216 CALLE REY EDUARDO
Practice Address - Street 2:LA VILLA DE TORRIMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3257
Practice Address - Country:US
Practice Address - Phone:787-731-1349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15614208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice