| Doctor Name: | RAFAEL PRADA |
| NPI Number: | 1164666202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4329 |
| Business Practice Address: | 50-18th Street Urb. Ponce De Leon Guaynabo, PR - 009694423 |
| Business Phone Number: | 7872494790 |
| Business Fax Number: | 7872870864 |
| Mailing Address: | 50-18th Street, Urb. Ponce De Leon GUAYNABO |
| State: | PR |
| Postal Code: | 009694423 |
| Phone Number: | 7872494790 |
| Fax Number: | 7872870864 |
| NPI Enumeration Date: | 04/20/2009 |
| NPI Last Update Date: | 04/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |