Individual
DR. SERGIO RAFAEL MOURE-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EDIF INSTITUTO SAN PABLO, SUITE 303, BAYAMON, PR 00961-7041
(787) 787-7191
(787) 786-3667
Mailing address
PO BOX 3866, GUAYNABO, PR 00970-3866
(787) 787-7191
(787) 786-3667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8128
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116
FIRST MEDICAL CARD SYSTEM
PR
01
—
066345
LA CRUZ AZUL DE PR
PR
01
—
204040
PREFERRED HEALTH CARE
PR
01
—
29466
TRIPLE S
PR
01
—
33-08128
UIA
PR
01
—
960010
HUMANA HEALTH CARE
PR
Enumeration date
05/27/2005
Last updated
01/13/2010
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