MEDICARE: DR. RAFAEL ORLANDO SANTINI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	14504	PR

General Provider Information

NPI Number	:	1811033079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAEL ORLANDO SANTINI

Provider Business Mailing Address
First Line	:	HC 2 BOX 6231
Second Line	:
City	:	BARRANQUITAS
State	:	PR
Zip	:	00794-9702
Country	:	US
Telephone Number	:	787-857-0221
Fax Number	:	787-857-0221

Provider Business Practice Location Address
First Line	:	900 CALLE CERRA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-5104
Country	:	US
Telephone Number	:	787-721-7088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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