Provider Demographics
NPI:1215750138
Name:GABRIEL, RONALD P
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:P
Last Name:GABRIEL
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 1:9976 MILLS REEF CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8666
Mailing Address - Country:US
Mailing Address - Phone:702-832-7921
Mailing Address - Fax:702-780-5277
Practice Address - Street 1:9976 MILLS REEF CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-8666
Practice Address - Country:US
Practice Address - Phone:702-832-7921
Practice Address - Fax:702-780-5277
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant