Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 04-38766 | KS |
NPI | 1013145747 |
---|---|
Provider Name | Rafael E Cabrera Salinas |
First Address | Wichita, KS 67208-0035 |
Second Address | Wichita, KS 67208-3054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 27/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003719464 | MEDICARE (01) | |
201132120A | (05) | KS |
P01713302 | RAILROAD MEDICARE (01) |