Individual
RAFAEL JOSE DE LA PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
PO BOX 25127, SARASOTA EMERGENCY ASSOCIATES, SARASOTA, FL 34277
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D415-730-84-325-0
FL
Other
Enumeration date
06/23/2011
Last updated
08/20/2014
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