Provider Demographics
NPI:1730820051
Name:ROSABAL PERNAS, CRISBEL (MD)
Entity type:Individual
Prefix:
First Name:CRISBEL
Middle Name:
Last Name:ROSABAL PERNAS
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 1:5286 GOLDEN GATE PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7650
Mailing Address - Country:US
Mailing Address - Phone:239-427-0931
Mailing Address - Fax:754-222-6417
Practice Address - Street 1:5286 GOLDEN GATE PKWY STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7650
Practice Address - Country:US
Practice Address - Phone:239-427-0931
Practice Address - Fax:754-222-6417
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1609208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice