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NPI 1154494870

NPI 1154494870 : RAFAEL E ALONSO GODINEZ MD : CAQUAS, PR

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General NPI Number Information
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    NPI Number           |    1154494870
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    Entity Type          |    Individual 
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    Provider Name        |    RAFAEL E ALONSO GODINEZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/17/2006
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    URB. SAN ALFONSO AVE. DEGETAU A-18
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    City                 |    CAQUAS
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    State                |    PR
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    Zip                  |    00725
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    Country              |    US
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    Telephone            |    787-744-4844
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    Fax                  |    787-744-4948
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Provider Business Mailing Address
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    Address Line         |    301 CALLE PALMA DE MALLORCA 
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00727-1400
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    Country              |    US
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    Telephone            |    787-744-4844
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    Fax                  |    787-744-4948
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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        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    10502
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    License Number State |    PR
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