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NPI Code Detail

MEDICARE: DR. RAFAEL A LLOP D.M.D..

MEDICARE:  DR. RAFAEL A LLOP  D.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
11223G0001XGeneral Practice Dentistry1134PR

General Provider Information

NPI Number : 1356458004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAEL A LLOP D.M.D..
Provider Business Mailing Address
First Line : 282 AVE DOMENECH
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-3506
Country : US
Telephone Number : 787-758-1950
Fax Number : 787-250-7928
Provider Business Practice Location Address
First Line : 282 AVE DOMENECH
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-3506
Country : US
Telephone Number : 787-758-1950
Fax Number : 787-250-7928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/08/2007

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

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