Individual
DR. RYAN DE MELO RABELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
(305) 285-5068
Mailing address
PO BOX 7623, NAPLES, FL 34101-7623
(305) 712-7229
(305) 397-1139
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME128335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113565200
—
FL
01
—
14264316
CAQH
FL
01
—
77RO1
FLORIDA BLUE (BCBS)
FL
01
—
IQ581Z
FLORIDA MEDICARE
FL
01
—
P01708544
FLORIDA RAILROAD MEDICARE
FL
Enumeration date
07/23/2008
Last updated
07/05/2022
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