# RAFAEL H ZARAGOZA URDAZ MD CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376871863
- **Authorized official:** RAFAEL H ZARAGOZA URDAZ MD, PHD (PRESIDENT)
- **Authorized official phone:** (787) 764-5715

## Contact information

- **Practice address:** 317 AVE MANUEL DOMENECH, SAN JUAN, PR 00918-3511
- **Practice address phone:** (787) 764-5715
- **Practice address fax:** (787) 764-3709
- **Mailing address:** 317 AVE MANUEL DOMENECH, SAN JUAN, PR 00918-3511
- **Mailing address phone:** (787) 764-5715
- **Mailing address fax:** (787) 764-3709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2009
- **Last updated:** 12/10/2022