Individual
DR. LUIGINO ROLANDO MATEO BERNABELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
600 S MAIN ST, FORT WORTH, TX 76104-2410
(817) 882-2425
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(817) 882-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09361000
NJ
207RR0500X
Rheumatology Physician
Primary
R5510
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2010
Last updated
06/07/2019
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