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Individual

DR. RAUL OCTAVIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ST CASIA #10, VA MEDICAL CENTER, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
B23 CALLE ADAMS, URB. PARKVILLE SUR, GUAYNABO, PR 00969-4404
(787) 643-7843

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005538
PR
207R00000X
Internal Medicine Physician
41716
FL

Other

Enumeration date
07/09/2008
Last updated
09/26/2013
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