Provider Demographics
NPI:1841689015
Name:RABELL-BERNAL, ANDRES N
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:N
Last Name:RABELL-BERNAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4333
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-4333
Mailing Address - Country:US
Mailing Address - Phone:787-641-2323
Mailing Address - Fax:
Practice Address - Street 1:COBIAN PLAZA 1607 AVE PONCE DE LEON GM4
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1803
Practice Address - Country:US
Practice Address - Phone:787-910-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21341207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine