Provider Demographics
NPI:1538564125
Name:TRABAL-YULFO, GABRIELA JULIANA (MD)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:JULIANA
Last Name:TRABAL-YULFO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 AVE ISLA VERDE APT 10J
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-7199
Mailing Address - Country:US
Mailing Address - Phone:787-972-1050
Mailing Address - Fax:
Practice Address - Street 1:735 AVE PONCE DE LEON STE 503
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5026
Practice Address - Country:US
Practice Address - Phone:787-510-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-26
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21360207W00000X, 207W00000X
PR32414390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program