Doctor Name: | DR. RAFAEL DIAZ GABRIEL |
NPI Number: | 1285656579 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 5236 |
Business Practice Address: | 9 Calle Munoz Rivera Guaynabo, PR - 009696314 |
Business Phone Number: | 7877202871 |
Business Fax Number: | |
Mailing Address: | Cond Hato Rey Plz, Apto. 16 E SAN JUAN |
State: | PR |
Postal Code: | 009184109 |
Phone Number: | 7877515052 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |