Provider Demographics
NPI:1356135578
Name:RUBEL, ARIEL FAYE
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:FAYE
Last Name:RUBEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 NW DOVER CT
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3414
Mailing Address - Country:US
Mailing Address - Phone:772-301-4860
Mailing Address - Fax:
Practice Address - Street 1:490 NW DOVER CT
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3414
Practice Address - Country:US
Practice Address - Phone:772-301-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education