Provider Demographics
NPI:1720291891
Name:ARBELO DECOS, RAFAEL JAMIL (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL JAMIL
Middle Name:
Last Name:ARBELO DECOS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 AVE DR SUSONI UNIT 1442
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2227
Mailing Address - Country:US
Mailing Address - Phone:787-215-8687
Mailing Address - Fax:
Practice Address - Street 1:CARR #119 KM 0.3 BO PUENTE SECTOR ZARZA
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-898-5873
Practice Address - Fax:787-262-2883
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist