Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 10502 | PR |
NPI | 1154494870 |
---|---|
Provider Name | Dr. Rafael E Alonso Godinez |
First Address | Caquas, PR 00727-1400 |
Second Address | Caquas, PR 00725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 28/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
064985 | CRUZ AZUL (01) | PR |
83484 | TRIPLE S (01) | PR |
F70613 | (02) |