Individual
MARITA RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5100
Mailing address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1728
(361) 855-8201
(361) 855-5381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K7376
TX
208000000X
Pediatrics Physician
Primary
K7376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101107402
CSHCN
TX
05
—
101107403
—
TX
01
—
80771K
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/13/2006
Last updated
03/29/2024
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