Individual
DR. RYAN DE MELO RABELO
Active
Individual
DR. RYAN DE MELO RABELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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