Doctor Name: | DR. SERGIO RAFAEL MOURE-RODRIGUEZ |
NPI Number: | 1508869165 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8128 |
Business Practice Address: | Edif Instituto San Pablo Suite 303 Bayamon, PR - 009617041 |
Business Phone Number: | 7877877191 |
Business Fax Number: | 7877863667 |
Mailing Address: | Po Box 3866, GUAYNABO |
State: | PR |
Postal Code: | 009703866 |
Phone Number: | 7877877191 |
Fax Number: | 7877863667 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |