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General NPI Number Information
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NPI Number | 1083829329
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Entity Type | Individual
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Provider Name | RUFUS ETIENNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 997 K1.0 ST. BO. DESTINO
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City | VIEQUES
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State | PR
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Zip | 00765
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Country | US
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Telephone | 787-741-0392
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Fax | 787-741-2550
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | HUMACAO
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State | PR
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Zip | 00792-0305
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Country | US
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Telephone | 787-525-1713
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 7522
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License Number State | PR
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