MEDICARE: RAFAEL CORDERO-ARILL M.D.

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	207R00000X	Internal Medicine Physician	17654	PR
2	207RG0100X	Gastroenterology Physician	17654	PR

General Provider Information

NPI Number	:	1851584130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL CORDERO-ARILL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 355
Second Line	:
City	:	JUNCOS
State	:	PR
Zip	:	00777-0355
Country	:	US
Telephone Number	:	787-690-3104
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS
Second Line	:	DEPT.. OF MEDICINE OFFICE A-838
City	:	SAN JUAN
State	:	PR
Zip	:	00935-0000
Country	:	US
Telephone Number	:	787-754-0101
Fax Number	:

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

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	07/24/2013

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