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NPI Code Detail

MEDICARE: RAFAEL ADOLFO CAMPOS LOPEZ MD

MEDICARE:   RAFAEL ADOLFO CAMPOS LOPEZ  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 Physician15132PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115132OTHERPRSTATE
2DM15028-4OTHERPRAMSCA

General Provider Information

NPI Number : 1265559843
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL ADOLFO CAMPOS LOPEZ MD
Provider Business Mailing Address
First Line : PO BOX 3030
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00681-3030
Country : US
Telephone Number : 787-831-5479
Fax Number : 787-831-5479
Provider Business Practice Location Address
First Line : 52 CALLE DE DIEGO W
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680-4733
Country : US
Telephone Number : 787-831-5479
Fax Number : 787-831-5479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 03/07/2023

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Directions to “ RAFAEL ADOLFO CAMPOS LOPEZ MD” Practice Location

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