Individual
RAFAEL E PAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CAR 129, INTERSECTION 490, ARECIBO, PR 00612
(787) 880-3843
(787) 880-3843
Mailing address
PO BOX 86, HATILLO, PR 00659-0086
(787) 880-3843
(787) 880-3843
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15108-I
PR
208D00000X
General Practice Physician
Primary
21904
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21904
—
PR
Enumeration date
06/11/2020
Last updated
11/18/2021
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