| Doctor Name: | RAPHAEL UGWU |
| NPI Number: | 1073900213 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 19127 |
| Business Practice Address: | Carr 844 Km 0.5 Coupes Bajo Rio Piedras, PR - 00926 |
| Business Phone Number: | 7877618383 |
| Business Fax Number: | |
| Mailing Address: | 9510 Old Quarry, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782503967 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 19127 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |