Doctor Name: | RAFAEL RODRIGUEZ RIOS |
NPI Number: | 1770574717 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8111 |
Business Practice Address: | 12 Calle Corchado Ciales, PR - 006383210 |
Business Phone Number: | 7878713795 |
Business Fax Number: | 7878713795 |
Mailing Address: | Po Box 231, CIALES |
State: | PR |
Postal Code: | 006380231 |
Phone Number: | 7878713795 |
Fax Number: | 7878713795 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |