Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 2891 | PR |
NPI | 1124234323 |
---|---|
Provider Name | Dr. Rafael Morales-Fernandez |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00926-1415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |