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NPI Code Detail

MEDICARE: DR. RAFAEL CARRASQUILLO M.D.

MEDICARE:  DR. RAFAEL  CARRASQUILLO  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
1208D00000XGeneral Practice Physician18449PR

General Provider Information

NPI Number : 1588922876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAEL CARRASQUILLO M.D.
Provider Business Mailing Address
First Line : 300 AVE LOS FILTROS
Second Line : BOX 10222
City : GUAYNABO
State : PR
Zip : 00971-6201
Country : US
Telephone Number : 787-969-0534
Fax Number :
Provider Business Practice Location Address
First Line : 282 AVE PINERO
Second Line : PLAZA EL AMAL
City : SAN JUAN
State : PR
Zip : 00927-3921
Country : US
Telephone Number : 787-969-0534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 04/25/2012

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Directions to “ DR. RAFAEL CARRASQUILLO M.D.” Practice Location

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