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NPI Code Detail

MEDICARE: DR. RAFAEL ANGEL RIVERA RODRIGUEZ MD

MEDICARE: DR. RAFAEL ANGEL RIVERA RODRIGUEZ MD
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
1208D00000XGeneral Practice Physician24799PR

General Provider Information

NPI Number : 1992515241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAEL ANGEL RIVERA RODRIGUEZ MD
Provider Business Mailing Address
First Line : URB GRAN VISTA 2 PLAZA CUATRO #37
Second Line :
City : GURABO PR
State : PR
Zip : 00778
Country : US
Telephone Number : 787-362-2840
Fax Number :
Provider Business Practice Location Address
First Line : 1395 CALLE SAN RAFAEL
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2518
Country : US
Telephone Number : 787-999-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2025
Last Update Date : 01/26/2026

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