Provider Demographics
NPI:1659037547
Name:CHABRIER-ROSELLO LLC
Entity type:Organization
Organization Name:CHABRIER-ROSELLO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:O
Authorized Official - Last Name:CHABRIER-ROSELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-834-9265
Mailing Address - Street 1:91 REGENT AVE
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-8839
Mailing Address - Country:US
Mailing Address - Phone:803-834-9265
Mailing Address - Fax:
Practice Address - Street 1:107 SEAGRASS STATION RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9549
Practice Address - Country:US
Practice Address - Phone:803-834-9265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty