Individual
DR. RAFAEL FELIZ LEBREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR. NUM. 2 KM 39.5, SUITE 110, VEGA BAJA, PR 00693
(787) 855-1385
(787) 807-8912
Mailing address
PO BOX 4615, VEGA BAJA, PR 00694-4615
(787) 855-1385
(787) 807-8912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4823
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063664
CRUZ AZUL DE PUERTO RICO
PR
01
—
100197
MEDICARE MUCHO MAS ID#
PR
01
—
1661
PEFERRED MEDICARE CHOICE
PR
01
—
212176
UTI
PR
01
—
25874
SSS OF PUERTO RICO
PR
01
—
29825
AAMPR PROVIDER ID
PR
01
—
3387
AMERICAN HEALTH PLAN
PR
01
—
4304823
UIA
PR
01
—
4823
COSVI PROVIDER ID
PR
01
—
6430019
HUMANA PORVIDER ID
PR
Enumeration date
07/10/2006
Last updated
07/09/2007
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