Doctor Name: | RAFAEL ALBERTO JUSTINIANO MAGRANER |
NPI Number: | 1871925297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20938 |
Business Practice Address: | Ave. Interamericana #11 San German, PR - 00683 |
Business Phone Number: | 7878925858 |
Business Fax Number: | |
Mailing Address: | Paseo De La Reina Apt. 3102, PONCE |
State: | PR |
Postal Code: | 00716 |
Phone Number: | 7873541896 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |