MEDICARE: RAFAEL SANCHEZ-YRIARTE

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	207P00000X	Emergency Medicine Physician	2011-00332	NC
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	34188	SC

General Provider Information

NPI Number	:	1073722377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL SANCHEZ-YRIARTE

Provider Business Mailing Address
First Line	:	25 HOSPITAL CENTER BLVD STE 309
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2739
Country	:	US
Telephone Number	:	843-227-4595
Fax Number	:	949-561-4596

Provider Business Practice Location Address
First Line	:	25 HOSPITAL CENTER BLVD STE 309
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2739
Country	:	US
Telephone Number	:	843-227-4595
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/11/2024

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