MEDICARE: RAFAEL F COUTIN 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
1	207RC0000X	Cardiovascular Disease Physician	F3865	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679574230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL F COUTIN M.D.

Provider Business Mailing Address
First Line	:	1521 S STAPLES ST
Second Line	:	SUITE 700
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-3150
Country	:	US
Telephone Number	:	361-888-8271
Fax Number	:	361-885-3699

Provider Business Practice Location Address
First Line	:	1521 S STAPLES ST
Second Line	:	SUITE 700
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-3150
Country	:	US
Telephone Number	:	361-888-8271
Fax Number	:	361-885-3699

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/29/2023

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Directions to “ RAFAEL F COUTIN M.D.” Practice Location

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