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NPI Code Detail

MEDICARE: DR. RAFAEL A. GALLARDO MENDEZ M.D.

MEDICARE:  DR. RAFAEL A. GALLARDO MENDEZ  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
1207W00000XOphthalmology Physician7071PR

General Provider Information

NPI Number : 1255318812
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAEL A. GALLARDO MENDEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 362158
Second Line :
City : SAN JUAN
State : PR
Zip : 00936-2158
Country : US
Telephone Number : 787-725-6001
Fax Number : 787-724-6070
Provider Business Practice Location Address
First Line : 1449 CALLE AMERICO SALAS
Second Line : EDIF. PAVIA II, SUITE 203
City : SAN JUAN
State : PR
Zip : 00909-2100
Country : US
Telephone Number : 787-725-6001
Fax Number : 787-724-6070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2005
Last Update Date : 09/12/2014

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Directions to “ DR. RAFAEL A. GALLARDO MENDEZ M.D.” Practice Location

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