Provider Demographics
NPI:1720471642
Name:DR. GUALBERTO RABELL
Entity Type:Organization
Organization Name:DR. GUALBERTO RABELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-480-3828
Mailing Address - Street 1:900 CALLE CERRA
Mailing Address - Street 2:CDT DR. GUALBERTO RABELL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-5104
Mailing Address - Country:US
Mailing Address - Phone:787-721-3207
Mailing Address - Fax:
Practice Address - Street 1:900 CALLE CERRA
Practice Address - Street 2:CDT DR. GUALBERTO RABELL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-5104
Practice Address - Country:US
Practice Address - Phone:787-480-3827
Practice Address - Fax:787-721-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health