Individual
DR. RAFAEL V HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101238333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010207916
—
VA
05
—
10001325
—
VA
01
—
184948
ANTHEM BLUE CROSS BLUE SH
VA
01
—
325431
SOUTHERN HEALTH
—
05
—
5903333
—
NC
Enumeration date
01/30/2007
Last updated
03/19/2015
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