Individual
DR. RAFAEL EDUARDO RUIZ GAVIRIA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WELLNESS WAY STE 200, MILFORD, DE 19963-4394
(302) 430-0867
(302) 430-0421
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0025866
DE
207RI0200X
Infectious Disease Physician
Primary
C1-0025866
DE
Other
Enumeration date
06/17/2018
Last updated
07/17/2023
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