Individual
DR. RAFAEL A PORTELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
STREET 2 KM 80.1 ARECIBO MEDICAL CENTER, SUITE 204, ARECIBO, PR 00612
(787) 878-3039
(787) 878-4038
Mailing address
PO BOX 140794, ARECIBO, ARECIBO, PR 00614-0794
(787) 878-3039
(787) 878-4038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2105
PR
Other
Enumeration date
08/16/2006
Last updated
05/28/2015
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