Individual
DR. JOSE RAFAEL REBOLLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
343 W HOUSTON ST, STE #811, SAN ANTONIO, TX 78205
(210) 222-2175
(210) 222-9374
Mailing address
343 W HOUSTON ST, STE #811, SAN ANTONIO, TX 78205
(210) 222-2175
(210) 222-9374
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
D3749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100075201
—
TX
Enumeration date
06/30/2006
Last updated
07/13/2007
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